{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:21:22Z","timestamp":1787840482868,"version":"build-2784847793"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 2","license":[{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The durability of dental crowns is critical in pediatric dentistry to ensure long-term functionality and esthetics. Stainless steel crowns (SSCs) have been a staple in restorative pediatric dentistry, while zirconia crowns (ZCs) have emerged as an esthetic alternative.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      A total of 100 pediatric patients aged 4\u20138 years were included in the study and randomly divided into two groups: SSC (n = 50) and ZC (n = 50). Crowns were placed on primary molars requiring full-coverage restorations. Durability was evaluated over 12 months based on retention, marginal integrity, wear resistance, and fracture rates. Standardized clinical protocols were followed for crown placement and follow-up assessments at 3, 6, and 12 months. Data were statistically analyzed using a paired\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      -test and Chi-square test, with a significance level set at\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The retention rate after 12 months was 98% for SSCs and 92% for ZCs (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.04). Marginal integrity remained optimal in 96% of SSCs and 88% of ZCs (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.02). Wear resistance scores were comparable between the groups, with mean values of 8.5 \u00b1 0.4 for SSCs and 8.2 \u00b1 0.5 for ZCs (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.21). Fracture rates were higher in ZCs, with 10% showing significant cracks or failure compared with 2% in SSCs (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.03).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Stainless steel crowns demonstrated superior durability in terms of retention, marginal integrity, and fracture resistance compared with zirconia crowns. Although zirconia crowns offer esthetic advantages, their higher fracture rates may limit their use in high-stress applications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jpbs.jpbs_199_25","type":"journal-article","created":{"date-parts":[[2025,6,18]],"date-time":"2025-06-18T01:00:23Z","timestamp":1750208423000},"page":"S1631-S1633","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Comparative Study on the Durability of Stainless Steel Crowns vs. Zirconia Crowns for Pediatric Use"],"prefix":"10.4103","volume":"17","author":[{"given":"Umesh C.","family":"Chaudhary","sequence":"first","affiliation":[{"name":"Department of Pedodontics and Preventive Dentistry, Chandra Dental College and Hospital, Barabanki, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malay","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Pedodontics and Preventive Dentistry, Chandra Dental College and Hospital, Barabanki, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Divyanshu","family":"Srivastava","sequence":"additional","affiliation":[{"name":"Department of Pedodontics and Preventive Dentistry, Chandra Dental College and Hospital, Barabanki, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shridevi","family":"Hugar","sequence":"additional","affiliation":[{"name":"Department of Pedodontics and Preventive Dentistry, Vasant Dada Patil Dental College, Budhgaon, Sangli, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vartika","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Pedodontics and Preventive Dentistry, Chandra Dental College and Hospital, Barabanki, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nitin","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Pedodontics and Preventive Dentistry, Chandra Dental College and Hospital, Barabanki, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miral","family":"Mehta","sequence":"additional","affiliation":[{"name":"Department of Pediatric and Preventive Dentistry, Karnavati School of Dentistry, Karnavati University, Gandhinagar, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dnyanesh","family":"Shul","sequence":"additional","affiliation":[{"name":"Department of Orthodontics and Dentofacial Orthopaedics, Dr. D. Y. Patil Dental College and Hospital, Dr. D. Y. Patil Vidyapeeth, Pimpri, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,6,18]]},"reference":[{"key":"R1-20250618","first-page":"489","article-title":"Preformed metal crowns for primary and permanent molar teeth:Review of the literature","volume":"24","author":"Randall","year":"2002","journal-title":"Pediatr Dent"},{"key":"R2-20250618","first-page":"501","article-title":"The use of stainless steel crowns","volume":"24","author":"Seale","year":"2002","journal-title":"Pediatr Dent"},{"key":"R3-20250618","first-page":"693","article-title":"The stainless steel crown","volume":"46","author":"Hutcheson","year":"2002","journal-title":"Dent Clin North Am"},{"key":"R4-20250618","first-page":"194","article-title":"Restoring primary anterior teeth:Updated for 2014","volume":"36","author":"Waggoner","year":"2014","journal-title":"Pediatr Dent"},{"key":"R5-20250618","first-page":"315","article-title":"Clinical evaluation of stainless steel and zirconia crowns in primary molars:A systematic review","volume":"10","author":"Sharma","year":"2017","journal-title":"Int J Clin Pediatr Dent"},{"key":"R6-20250618","first-page":"359","article-title":"Clinical performance of anterior zirconia crowns in primary teeth","volume":"15","author":"Ram","year":"2014","journal-title":"Eur Arch Paediatr Dent"},{"issue":"(Suppl 1)","key":"R7-20250618","doi-asserted-by":"crossref","first-page":"S477","DOI":"10.4103\/jpbs.jpbs_758_23","article-title":"Investigating the Long-Term Success and Complication Rates of Zirconia Dental Implants:A Prospective Clinical Study","volume":"16","author":"Shukla","year":"2024","journal-title":"J Pharm Bioallied Sci"},{"key":"R8-20250618","doi-asserted-by":"crossref","first-page":"18","DOI":"10.17796\/jcpd.39.1.t6725r5566u4330g","article-title":"Zirconia crowns for rehabilitation of decayed primary incisors:An esthetic alternative","volume":"39","author":"Ashima","year":"2014","journal-title":"J Clin Pediatr Dent"},{"key":"R9-20250618","doi-asserted-by":"crossref","first-page":"1329","DOI":"10.6026\/973206300191329","article-title":"Artificial intelligence in oral health surveillance among under-served communities","volume":"19","author":"Tiwari","year":"2023","journal-title":"Bioinformation"},{"key":"R10-20250618","first-page":"567","article-title":"Evaluation of zirconia-based crowns in pediatric patients:A review","volume":"43","author":"Taran","year":"2019","journal-title":"J Pediatr Dent"},{"key":"R11-20250618","doi-asserted-by":"crossref","first-page":"33","DOI":"10.18231\/j.ijmpo.2024.009","article-title":"Neuromotor rehabilitation and virtual reality:A review","volume":"10","author":"Sharma","year":"2024","journal-title":"IP Int J Med Paediatr Oncol"}],"container-title":["Journal of Pharmacy and Bioallied Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jpbs.jpbs_199_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:23:45Z","timestamp":1787837025000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jpbs.jpbs_199_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6]]},"references-count":11,"journal-issue":{"issue":"Suppl 2","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jpbs.jpbs_199_25","relation":{},"ISSN":["0976-4879","0975-7406"],"issn-type":[{"value":"0976-4879","type":"print"},{"value":"0975-7406","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6]]},"assertion":[{"value":"2025-01-24","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-09","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}