Clinical Evaluation and Parental Satisfaction with Pediatric Zirconia Anterior Crowns

Pediatr Dent. 2016;38(3):192-7.


Purpose: The purpose of this study was to evaluate the clinical success of and parental satisfaction with anterior pediatric zirconia crowns.

Methods: A retrospective analysis of maxillary anterior pediatric zirconia crowns was performed. Crowns were evaluated for retention, gingival health, color match, contour, marginal integrity, and opposing tooth wear. Parental satisfaction regarding the esthetics of the crowns and parental perception of the impact of treatment on the child's appearance and oral health were evaluated by questionnaire.

Results: Fifty-seven crowns were evaluated in 18 children. Eight teeth were lost to exfoliation, three were extracted due to pathology, and two crowns debonded, leaving 44 available for examination. The average crown age at time of examination was 20.8 months. Sixteen crowns (36 percent) displayed gingival inflammation and color mismatch. No recurrent caries or opposing tooth wear was noted. Parents reported high satisfaction with the color, size, and shape of the crowns. The majority of parents reported that crowns improved the appearance and oral health of their child (78 percent and 83 percent, respectively). Eight-nine percent of parents reported that they would highly recommend these crowns.

Conclusions: Zirconia crowns are clinically acceptable restorations in the primary maxillary anterior dentition. Parental satisfaction with zirconia crowns is high.

MeSH terms

  • Child
  • Child, Preschool
  • Consumer Behavior*
  • Costs and Cost Analysis
  • Cross-Sectional Studies
  • Crowns* / economics
  • Dental Alloys*
  • Dental Caries / therapy*
  • Dental Restoration, Permanent / economics
  • Dental Restoration, Permanent / methods*
  • Esthetics
  • Female
  • Humans
  • Male
  • Parents / psychology*
  • Retrospective Studies
  • Tooth, Deciduous
  • Zirconium*


  • Dental Alloys
  • Zirconium
  • zirconium oxide