Süt Dişlerinde Güncel Prefabrike Kuron Sistemleri: Gelenekselden Yeni Nesil Yaklaşımlara
Özet
Süt dişlerinde geniş çürük lezyonları, travmatik doku kayıpları ve pulpa tedavisi sonrasında tam koronal restorasyonlar, dişin fizyolojik düşme zamanına kadar fonksiyonel olarak korunmasında önemli bir yere sahiptir. Çocuk diş hekimliğinde uzun yıllardır kullanılan paslanmaz çelik kuronlara ek olarak, artan estetik beklentiler ve materyal teknolojilerindeki gelişmelerle birlikte prefabrike zirkonyum kuronlar, esnek polimer esaslı kuronlar ve 3D baskıyla üretilen rezin kuronlar gibi yeni seçenekler kullanıma girmiştir. Bu bölümde süt dişlerinde kullanılan güncel tam koronal restorasyon sistemleri; endikasyonları, kontrendikasyonları, klinik uygulama özellikleri, preparasyon gereksinimleri, avantajları ve sınırlılıkları açısından ele alınmıştır. Ayrıca anterior ve posterior süt dişlerinde kuron seçimini etkileyen klinik faktörler ile güncel bilimsel kanıtlar değerlendirilmiştir. Paslanmaz çelik kuronlar uzun dönem klinik kanıtlarıyla önemini korurken, zirkonyum kuronlar estetik gereksinimlerin ön planda olduğu olgularda yerleşik bir alternatif sunmaktadır. Esnek polimer ve 3D baskıyla üretilen rezin kuronlar ise umut verici yeni nesil seçenekler olmakla birlikte, uzun dönem klinik performanslarının belirlenmesi için daha fazla çalışmaya gereksinim vardır.
Anahtar Kelimeler: Süt dişleri, pediatrik kuronlar, paslanmaz çelik kuron, zirkonyum kuron, esnek polimer kuronlar, 3D baskılı rezin kuronlar
Konu Alanı: Diş Hekimliği -> Diş Hekimliği (diğer) -> Pedodonti
Abdelhafez, A., & Dhar, V. (2025). Comparative clinical performance of stainless steel, zirconia, and Bioflx crowns in primary molars: A randomized controlled trial. BMC Oral Health, 25(1), 585. https://doi.org/10.1186/s12903-025-05869-8
Abdelmagied, M., Parekh, S., & Ashley, P. (2026). Comparison of clinical outcomes and parental satisfaction between zirconia and composite strip crowns in children with decayed primary incisors: A systematic review and meta-analysis. Journal of Evidence-Based Dental Practice, 26(3), 102314. https://doi.org/10.1016/j.jebdp.2026.102314
Aiem, E., Smaïl-Faugeron, V., & Muller-Bolla, M. (2017). Aesthetic preformed paediatric crowns: Systematic review. International Journal of Paediatric Dentistry, 27(4), 273–282. https://doi.org/10.1111/ipd.12260
Alaki, S. M., Abdulhadi, B. S., AbdElBaki, M. A., & Alamoudi, N. M. (2020). Comparing zirconia to anterior strip crowns in primary anterior teeth in children: A randomized clinical trial. BMC Oral Health, 20(1), 313. https://doi.org/10.1186/s12903-020-01305-1
Alper, E. S., Şimşek, H., Büyük, S. K., Güler, Ç., & Çadırcı, M. (2026). Effect of different washing and post-curing protocols on the fracture resistance of 3D-printed pediatric crowns after thermal cycling. Scientific Reports, 16(1), 24571. https://doi.org/10.1038/s41598-026-54905-2
Alper, E. S., Şimşek, H., Büyük, S. K., Kurt Demirsoy, K., Özçelik Eryılmaz, E., Odabaşı, D., & Turgut, M. (2026). Clinical performance of 3D-printed resin versus prefabricated zirconia crowns in primary molars: A split-mouth clinical study. Journal of Dentistry, 173, 106757. https://doi.org/10.1016/j.jdent.2026.106757
Alrashdi, M., Ardoin, J., & Liu, J. A. (2022). Zirconia crowns for children: A systematic review. International Journal of Paediatric Dentistry, 32(1), 66–81. https://doi.org/10.1111/ipd.12793
Alzanbaqi, S. D., Alogaiel, R. M., Alasmari, M. A., Al Essa, A. M., Khogeer, L. N., Alanazi, B. S., Hawsah, E. S., Shaikh, A. M., & Ibrahim, M. S. (2022). Zirconia crowns for primary teeth: A systematic review and meta-analyses. International Journal of Environmental Research and Public Health, 19(5), 2838. https://doi.org/10.3390/ijerph19052838
Amer, D. M., & Abdellatif, A. M. (2024). In vivo evaluation of the enamel wear of primary molar against four types of crowns using the intra-oral scanner. BMC Oral Health, 24(1), 1438. https://doi.org/10.1186/s12903-024-05206-5
American Academy of Pediatric Dentistry. (2025a). Pediatric restorative dentistry. In The Reference Manual of Pediatric Dentistry (pp. 473–486). American Academy of Pediatric Dentistry.
American Academy of Pediatric Dentistry. (2025b). Pulp therapy for primary and immature permanent teeth. In The Reference Manual of Pediatric Dentistry (pp. 487–496). American Academy of Pediatric Dentistry.
Biedma-Perea, M., Moscoso-Sánchez, M., Barra-Soto, M. J., Arenas-González, M., Ribas-Pérez, D., & Caleza-Jiménez, C. (2025). Survival evaluation of restorations in pulpotomized primary teeth with MTA or Biodentine®: A systematic review. Journal of Clinical Medicine, 14(15), 5501. https://doi.org/10.3390/jcm14155501
Chavhan, P. D., Salvi, P. P., Sajjanar, A., Khole, M. D., Kulkarni, B. A., & Bhangdiya, J. S. (2026). Clinical efficiency of prefabricated zirconia crowns in primary dentition: A systematic review and meta-analysis. Journal of Indian Society of Pedodontics and Preventive Dentistry, 44(1), 14–23. https://doi.org/10.4103/jisppd.jisppd_462_25
Chen, X. X., Zhong, J., Yan, W. J., Zhang, H. M., Jiang, X., Huang, Q., Xue, S. H., & Liu, X. G. (2020). Clinical performance of rensin-bonded composite strip crowns in primary incisors. Beijing Da Xue Xue Bao Yi Xue Ban, 52(5), 907–912. https://doi.org/10.19723/j.issn.1671-167X.2020.05.019
Chen, Y., Pu, H., Xu, R., & Zeng, R. (2026). Effectiveness of prefabricated zirconia crowns and resin-bonded composite strip crowns in the restoration of pediatric primary anterior teeth: A systematic review and meta-analysis. BMC Oral Health, 26(1), 369. https://doi.org/10.1186/s12903-026-07759-z
Chua, D. R., Tan, B. L., Nazzal, H., Srinivasan, N., Duggal, M. S., & Tong, H. J. (2023). Outcomes of preformed metal crowns placed with the conventional and Hall techniques: A systematic review and meta-analysis. International Journal of Paediatric Dentistry, 33(2), 141–157. https://doi.org/10.1111/ipd.13029
Coll, J. A., Dhar, V., Chen, C.-Y., Crystal, Y. O., Guelmann, M., Marghalani, A. A., AlShamali, S., Xu, Z., Glickman, G. N., & Wedeward, R. (2024). Use of vital pulp therapies in primary teeth 2024. Pediatric Dentistry, 46(1), 13–26.
Demir, N., Genc, O., Akkese, I. B., Malkoc, M. A., & Ozcan, M. (2024). Bonding effectiveness of saliva-contaminated monolithic zirconia ceramics using different decontamination protocols. BioMed Research International, 2024, 6670159. https://doi.org/10.1155/2024/6670159
Grewal, N., Jha, S., & Kaur, N. (2021). Clinical and radiographic success of resin-bonded strip crowns in primary incisors with varying extents of sound tooth structure available for bonding. International Journal of Clinical Pediatric Dentistry, 14(4), 454–461. https://doi.org/10.5005/jp-journals-10005-1984
Hamdy, S. F., Al-Gabri, R. S., Al-Wahbi, O. A. A., Sharafuddin, A., Al-Domeni, M., Fadag, A., Altayyar, S., AboAlrejal, H. O., Alofi, H., & Alqutaibi, A. Y. (2026). Clinical and in vitro performance of Bioflx crowns in primary teeth: A systematic review. International Journal of Paediatric Dentistry. Advance online publication. https://doi.org/10.1111/ipd.70111
Hamrah, M. H., Mokhtari, S., Hosseini, Z., Khosrozadeh, M., Hosseini, S., Ghafary, E. S., Hamrah, M. H., & Tavana, N. (2021). Evaluation of the clinical, child, and parental satisfaction with zirconia crowns in maxillary primary incisors: A systematic review. International Journal of Dentistry, 2021, 7877728. https://doi.org/10.1155/2021/7877728
Hu, S., BaniHani, A., Nevitt, S., Maden, M., Santamaria, R. M., & Albadri, S. (2022). Hall technique for primary teeth: A systematic review and meta-analysis. Japanese Dental Science Review, 58, 286–297. https://doi.org/10.1016/j.jdsr.2022.09.003
Innes, N. P., Ricketts, D., Chong, L. Y., Keightley, A. J., Lamont, T., & Santamaria, R. M. (2015). Preformed crowns for decayed primary molar teeth. Cochrane Database of Systematic Reviews, 2015(12), CD005512. https://doi.org/10.1002/14651858.CD005512.pub3
Jiang, H.-F., Shi, A.-T., Li, J., Zhang, Y.-H., & Yang, J. (2024). Effectiveness of risk-based caries management among Chinese preschool children: A randomized controlled single-blind trial. BMC Oral Health, 24(1), 673. https://doi.org/10.1186/s12903-024-04442-z
Joshi, N., Rai, K., & Nair, M. R. (2026). Clinical performance of Bioflx versus stainless steel crowns in primary mandibular second molars: A randomized controlled trial. BMC Oral Health. Advance online publication. https://doi.org/10.1186/s12903-026-09717-1
Joshi, R. S., Gokhale, N. S., Hugar, S. M., Soneta, S., Badakar, C. M., & Saxena, N. (2023). Longevity of stainless steel crowns on primary molars: A systematic review and meta-analysis. Journal of the Scientific Society, 50(1), 28–38. https://doi.org/10.4103/jss.jss_164_22
Khalil, A. S., & Alrehaili, R. S. (2026). Prefabricated zirconia crowns versus alternative full-coverage restorations for primary anterior teeth: A systematic review of clinical outcomes. European Archives of Paediatric Dentistry, 27(4), 983–995. https://doi.org/10.1007/s40368-025-01142-2
Lee, J. H. (2018). Guided tooth preparation for a pediatric zirconia crown. The Journal of the American Dental Association, 149(3), 202–208.e2. https://doi.org/10.1016/j.adaj.2017.08.048
Lee, K. E., Kang, H. S., Shin, S. Y., Lee, T., Lee, H. S., & Song, J. S. (2024). Comparison of three-dimensional printed resin crowns and preformed stainless steel crowns for primary molar restorations: A randomized controlled trial. Journal of Clinical Pediatric Dentistry, 48(3), 59–67. https://doi.org/10.22514/jocpd.2024.060
Maldupa, I., Al-Yaseen, W., Giese, J., Ahmed Elagami, R., & Raggio, D. P. (2024). Recommended procedures for managing carious lesions in primary teeth with pulp involvement: A scoping review. BDJ Open, 10(1), 74. https://doi.org/10.1038/s41405-024-00259-8
Mathew, M., Roopa, K., Soni, A., Khan, M. M., & Kauser, A. (2020). Evaluation of clinical success, parental and child satisfaction of stainless steel crowns and zirconia crowns in primary molars. Journal of Family Medicine and Primary Care, 9(3), 1418. https://doi.org/10.4103/jfmpc.jfmpc_1006_19
Mohamed, H. A., Abdalla, E. M., HagOmer, N. A., & Philip, N. (2026). Conventional versus Hall technique for preformed metal crown restorations of carious primary molars: A randomised controlled trial comparing treatment duration and child and parental perceptions. European Archives of Paediatric Dentistry, 27(2), 599–606. https://doi.org/10.1007/s40368-025-01128-0
Moradi, M., Moradi, M., Lorenzo-Luengo, M. C., & Curto-Aguilera, A. (2026). Digitally fabricated custom esthetic crowns for primary molars: A systematic review of in vitro and clinical evidence. Journal of Clinical and Experimental Dentistry, 18(8), e952–e960. https://doi.org/10.4317/jced.64190
Olegário, I. C., Bresolin, C. R., Pássaro, A. L., de Araujo, M. P., Hesse, D., Mendes, F. M., & Raggio, D. P. (2022). Stainless steel crown vs bulk fill composites for the restoration of primary molars post-pulpectomy: 1-year survival and acceptance results of a randomized clinical trial. International Journal of Paediatric Dentistry, 32(1), 11–21. https://doi.org/10.1111/ipd.12785
Patnana, A. K., Chugh, V. K., Chugh, A., Vanga, N. R. V., & Kumar, P. (2022). Effectiveness of zirconia crowns compared with stainless steel crowns in primary posterior teeth rehabilitation. The Journal of the American Dental Association, 153(2), 158–166.e5. https://doi.org/10.1016/j.adaj.2021.08.005
Pei, S. L., & Chen, M. H. (2023). Comparison of periodontal health of primary teeth restored with zirconia and stainless steel crowns: A systemic review and meta-analysis. Journal of the Formosan Medical Association, 122(2), 148–156. https://doi.org/10.1016/j.jfma.2022.08.015
Sharma, M., Khatri, A., Kalra, N., & Tyagi, R. (2021). Comparison of parental satisfaction with strip crowns and primary anterior zirconia crowns in 3–5 years old children over 1 year. Journal of Indian Society of Pedodontics and Preventive Dentistry, 39(4), 423–428. https://doi.org/10.4103/jisppd.jisppd_132_21
Sztyler, K., Wiglusz, R. J., & Dobrzynski, M. (2022). Review on preformed crowns in pediatric dentistry: The composition and application. Materials, 15(6), 2081. https://doi.org/10.3390/ma15062081
Tedesco, T. K., Innes, N. P., Gallegos, C. L., Silva, G. S., Gimenez, T., Braga, M. M., Araujo, M. P., Jayaraman, J., Al-Yaseen, W., & Raggio, D. P. (2025). Success rate of Hall Technique for restoring carious primary molars: Systematic review and meta-analysis. Evidence-Based Dentistry, 26(1), 65–66. https://doi.org/10.1038/s41432-024-01044-0
Vaghela, L. L., Patel, M. C., Bhatt, R. K., Patel, C. N., & Joshi, K. R. (2021). Clinical performance and parental satisfaction with composite strip crown and prefabricated zirconia crown for primary anterior teeth: A randomized clinical trial. The Journal of Contemporary Dental Practice, 22(12), 1462–1470. https://doi.org/10.5005/jp-journals-10024-3264
Zou, J., Du, Q., Ge, L., Wang, J., Wang, X., Li, Y., Song, G., Zhao, W., Chen, X., Jiang, B., Mei, Y., Huang, Y., Deng, S., Zhang, H., Li, Y., & Zhou, X. (2022). Expert consensus on early childhood caries management. International Journal of Oral Science, 14(1), 35. https://doi.org/10.1038/s41368-022-00186-0
| Kitap: |
| Yayınevi:
Vizetek Yayıncılık |