Comparing Stainless Steel Crowns With Prefabricated Resin Crowns in Primary Molar Teeth

Inclusion criteria

• CCHMC pediatric dental patients between the ages of 2 years to 5 years and 11 months, at the time of recruitment, who present to any CCHMC dental clinic location and then are found to need full mouth dental rehabilitation.
• Patients who speak the most common languages at CCHMC will be able to be recruited for the study.

o English, Spanish, Arabic, Uzbek, Nepali, Chinese Mandarin, Russian, French.

• These patients must qualify for treatment at the CCHMC dental in-office general anesthesia (IOGA) area or the Procedure Center (PC). IOGA and the PC will be selected as a venue of treatment to control behavioral factors. This is not specific to the study and would occur due to their treatment needs.
• Participants will have at least one pair of contralateral primary molars with the need for a full coverage restoration in the same arch.

• For example, tooth A & J, B & I, S & L, or T & K
• For each participant, a minimum of one SSC or one PRC will be randomly assigned via a split mouth design to be placed as part of the study.
• Need for Full coverage and high caries risk will be defined by AAPD Best Practice Guidelines 2,16

o Teeth With

• Extensive caries
• Cervical decalcification
• Developmental defects (e.g., hypoplasia, hypocalcification)
• When failure of other available restorative materials is likely (e.g., interproximal caries extending beyond line angles, patients with bruxism)
• Following pulpotomy or pulpectomy
• For definitive restorative treatment for high caries-risk children as defined by the AAPD
• For patients who exhibit high caries risk and whose treatment is performed under sedation or general anesthesia. This would be normal and not specific to the study.
• Participants who consent to the study, and who can be available for follow-up recall appointments.
• All participants will be ASA I or ASA II as defined by the American Society of Anesthesiologists.15

Exclusion criteria

• Participants who do not meet inclusion criteria will be excluded.

• Participants whose teeth do not meet the inclusion criteria.
• Participants who do not wish to participate in the study.
• Patients who do not wish to or cannot reliably return for follow-up visits.
• Red dye allergy as patient will not be able to be plaque disclosed during follow-up visits.
• Participants who do not speak English, Spanish, Arabic, Uzbek, Nepali, Chinese Mandarin, Russian, French.