{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T06:31:06Z","timestamp":1786429866508,"version":"build-2736575974"},"reference-count":52,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T00:00:00Z","timestamp":1765238400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T00:00:00Z","timestamp":1765238400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100009827","name":"Alexandria University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100009827","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur Arch Paediatr Dent"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Prefabricated zirconia crowns have gained popularity as an alternative to traditional options such as composite strip crowns and pre-veneered stainless steel crowns. However, their comparative clinical effectiveness remains uncertain. This systematic review aimed to evaluate the clinical outcomes of prefabricated zirconia crowns (ZCs) for restoring primary anterior teeth compared to alternative full-coverage restorations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This systematic review was conducted in alignment with PRISMA guidelines. A comprehensive search of five databases, PubMed, Cochrane Library, Embase, Scopus, and Web of Science, was performed to identify eligible randomised controlled trials (RCTs) addressing the PICO question: \u201cHow does the clinical performance of prefabricated ZCs compare to alternative full-coverage restorations in primary anterior teeth?\u201d The Cochrane Risk of Bias 2 (RoB 2) tool was used to assess the methodological quality of the included studies. Due to the heterogeneity of studies, a narrative synthesis of the findings was carried out.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Out of 993 records identified, seven RCTs involving 326 participants were included. ZC exhibited superior retention, with survival rates of 95\u2013100% at 12\u201318 months, compared with 46\u201379% for composite strip crowns (CSC) and 100% for pre-veneered stainless steel crowns. Gingival health was significantly better with ZC. Bleeding scores ranged from 0 to 40% in ZC vs. 20\u201367% in CSC, and plaque-free surfaces were reported in 80\u2013100% of ZC vs. 40\u201380% of CSC. Aesthetic outcomes favoured ZC, with colour match 98\u2013100% vs. 44\u201370% for CSC. Parental satisfaction was highest for ZC, whilst secondary caries was absent in all ZC groups. RoB 2 assessment judged six studies as having \u201csome concerns\u201d and one as \u201chigh risk.\u201d<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Current evidence suggests that prefabricated zirconia crowns show promising clinical performance for restoring primary anterior teeth, with advantages in retention, gingival health, and aesthetics. Nonetheless, concerns regarding enamel wear and limited long-term data highlight the need for further high-quality trials.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s40368-025-01142-2","type":"journal-article","created":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T19:12:10Z","timestamp":1765307530000},"page":"983-995","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Prefabricated zirconia crowns versus alternative full-coverage restorations for primary anterior teeth: a systematic review of clinical outcomes"],"prefix":"10.1007","volume":"27","author":[{"given":"A. S.","family":"Khalil","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. 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