The CTC Crown Restoration Of Primary Canines Among Pediatric Patients

This study explores the clinical effectiveness of #4 maxillary lateral incisor celluloid transparent crowns (CTC) for the restoration of primary canines, analyzing its feasibility as a new strategy for primary tooth restoration. A total of 45 children aged 3-5 years with extensive defects in primary canines were selected for restoration with #4 maxillary lateral incisor CTC. During the procedure, healthy tooth structure was preserved, and CTCs were adapted, followed by light-cured resin bonding. Follow-up was conducted over 12-24 months’ post-operation to assess the retention rate of the restorations, margin adaptation, and complications. The results indicated that 91.1% of the restorations were free from detachment or damage, with good margin adaptation (86.7%), while three cases experienced localized fractures due to high occlusion and two experienced slight gingival irritation, which resolved following adjustments. The average operation time was 18 minutes, with a high level of cooperation from the children, and parental satisfaction regarding the shape and color of the crown reached 93%. CTC takes advantage of the translucency and toughness of celluloid materials, accommodating the anatomical shape of primary canines while minimizing damage to the tooth structure. Its aesthetic effect surpasses that of resin restoration. However, no CTCs were made for primary canines. The clinical effectiveness of #4 lateral incisor CTCs for the restoration of primary canines is reliable, exhibiting a combination of minimally invasive qualities and aesthetic appeal, making it an excellent option for the primary canine restoration in children.