Estado gingival de dientes temporales con y sin restauración de coronas de acero en niños de 3 a 9 años / Gingival Status of Temporary Teeth with and without Stainless-Steel Crowns in 3-to-9-year-old Children

Mario Rafael Romero Sánchez, María Marcela Colmenares Millán, María Verónica Valle Valle, María Belén Andrade López, Ángela Suarez Castillo

Abstract


RESUMEN. Antecedentes: Las coronas de acero constituyen una alternativa que permite, en la población pediátrica, conservar la estructura dental hasta su exfoliación fisiológica; sin embargo, existe controversia en la literatura con respecto al comportamiento del tejido gingival de los dientes restaurados con coronas de acero. Propósito: Identificar el estado gingival de dientes temporales con y sin restauración de coronas de acero en niños de 3 a 9 años atendidos en las clínicas odontológicas de la Pontificia Universidad Javeriana en Bogotá en el periodo 2013 y 2014. Métodos: Estudio observacional descriptivo de corte transversal. Se observaron 110 dientes temporales restaurados con corona de acero y su respectivo antímero o antagonista sin corona de acero, Se analizó el estado gingival, la adaptación clínica de las coronas de acero, la presencia o ausencia de exceso de material cementante y de biopelícula en todas las superficies de los dientes. Resultados: La relación que existe entre la adaptación de las coronas de acero con el estado gingival no demostró diferencias estadísticamente significativas, el único indicador relevante fue en la superficie vestibular (p=0,018). De igual forma, el estado gingival y la biopelícula presentaron una baja correlación (19 %). Conclusiones: El presente estudio demostró que el índice gingival para dientes restaurados con y sin coronas de acero, presentó una correlación positiva entre la inflamación gingival y la edad de la población pediátrica, aun cuando la retención de biopelícula propiamente dicha no fue significativa.

 

ABSTRACT. Background: Stainless steel crowns are an alternative to preserve deciduous teeth until they exfoliate. Despite that, nevertheless, there is a controversy regarding the gingival status around stainless-steel crowns. Purpose: To identify the gingival status around deciduous teeth with and without stainless steel crown restorations in children between 3-9 years old seen at Pontificia Universidad Javeriana(Bogotá) Dental Clinics between 2013 and 2014. Methods: An observational descriptive cross-sectional study was designed and implemented. 110 teeth restored with stainless steel crowns and their respective antagonists without stainless steel crowns were observed. The clinical parameters evaluated were gingival and plaque index, clinical crown adaptation, and cement excess. Results: The relationship between the stainless-steel crowns adaptation and the gingival status showed no statistically significant differences. The only relevant indicator was on the buccal surface (p= 0.018). Likewise, the correlation between gingival status and biofilm was low (19 %). Conclusions: The gingival index around natural teeth and those restored with stainless-steel crowns demonstrated that gingival inflammation in the pediatric population was positively correlated with the age, although the biofilm retention index by itself was not significant.


Keywords


odontología pediátrica; periodoncia; coronas de acero; dientes deciduos; estado gingival; índice gingival

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DOI: http://dx.doi.org/10.11144/Javeriana.uo36-77.egdt

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