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Restorative
Erin Eichorn, DMD
PGY-2 Resident
Geisinger Medical Center
Geisinger Medical Center
Danville, Pennsylvania, United States
Gayatri Malik, DMD, PhD
Associate Program Director
Geisinger Medical Center, Danville, PA
Danville, Pennsylvania, United States
Natalie Stinton, DMD
Program Director
Geisinger Medical Center, Danville, PA
Danville, Pennsylvania, United States
Purpose: The aim of this retrospective study was to review the success rates of a novel non-invasive technique for treating anterior carious lesions in the primary dentition.
Methods: Patients included in this study had a strip crown placed by Geisinger Pediatric Dentistry and were between 15 months to 6 years of age. They also had at least one carious lesion in a primary anterior tooth with no pulp involvement. Follow-up intervals were at 6 months, 1 year, 2 years, 3 years or until restoration failure.
Results: A total of 220 in-clinic strip crown restorations were performed on 115 unique patients between September 2011 and August 2022. Most restorations were interim therapeutic restorations (ITR) (n = 152; 69%), while the remaining 68 restorations (31%) were Traditional Preparation (Trad Prep). The median time of restoration survival until failure or last recorded date present was 15 months (IQR: 9, 22) and 17 months (IQR: 9, 29) for ITR and Trad Prep, respectively. Over the follow-up period, ITR restorations had a higher rate of failure (70%) than Trad Prep restorations (37%).
Conclusion: This technique presents a less invasive way to treat anterior carious lesions in the primary dentition. Future studies will need to be completed to further refine this technique and help minimize failures.