Comparative evaluation of clinical performance, child and parental satisfaction of Bioflx, zirconia and stainless steel crowns in pediatric patients

Abstract

Background: Pediatric dental treatment is challenging in patients with early childhood caries. For clinician its difficult to manage child and provide good work at the same time. Its necessity to have the best equipments as well as materials. Nowadays, aesthetics play an important role in managing decayed teeth. Zirconia crown is better option but requires excessive preparation. As Bioflx is newly developed crown and has combined stainless steel and zirconia properties. Aim: To assess the clinical performance and child and parental satisfaction of Bioflex crowns compared to zirconia and stainless steel crowns. Methods: In this comparative study of Bioflx crowns with zirconia and stainless steel crowns, children aged three to seven years old will be selected, and 72 primary teeth requiring crowns will be randomly distributed into three groups, n = 24: Group I: Preformed stainless steel crown, control; Group II: Preformed Bioflex crown; Group III: Preformed zirconia crown. Crowns will be evaluated for recurrent caries, plaque accumulation, restoration failure, gingival status opposing tooth wear, and clinicians and parental satisfaction at zero, three, six, and 12 months. Results: Bioflx crown will have better clinical as well as parental satisfaction among zirconia and stainless steel crowns. Conclusions: The Bioflx crown can be used as an alternative economical esthetic full-coronal restoration for primary teeth. Trial registration: CTRI registration number: https://ctri.nic.in/Clinicaltrials/pmaindet2.php?trialid=83690&EncHid=&userName= CTRI/2023/05/052256 ; Date of registration: May 03, 2023. Protocol version: Two; Date: April 22, 2023