Management of decay in primary molar teeth conventionally involves removal of decayed tooth and placement of a preformed metal crown (also known as a stainless steel crown) to completely cover the tooth or placement of a filling (a soft material which is placed in the hole and hardened) to restore the tooth. Preformed metal crowns are recommended by specialists in children’s dentistry for the management of these teeth when they are affected by moderate to advanced tooth decay. We were unable to find any high quality research evidence either for or against this recommendation. No randomised control trials were found which compared removal of decay followed by placement of a preformed metal crown with removal of decay followed by placement of a filling material or no treatment.
This review is published as a Cochrane Review in the Cochrane Database of Systematic Reviews 2008, Issue 4. Cochrane Reviews are regularly updated as new evidence emerges and in response to comments and criticisms, and the Cochrane Database of Systematic Reviews should be consulted for the most recent version of the Review.
- Dental caries