Comparing Stainless Steel Crowns with Prefabricated Resin Crowns in Primary Molar Teeth

Eligibility Criteria

• * CCHMC pediatric dental patients between the ages of 2 years to 5 years and 11 months, at the time of recruitment, who present to any CCHMC dental clinic location and then are found to need full mouth dental rehabilitation.
• * Patients who speak the most common languages at CCHMC will be able to be recruited for the study.
• * These patients must qualify for treatment at the CCHMC dental in-office general anesthesia (IOGA) area or the Procedure Center (PC). IOGA and the PC will be selected as a venue of treatment to control behavioral factors. This is not specific to the study and would occur due to their treatment needs.
• * Participants will have at least one pair of contralateral primary molars with the need for a full coverage restoration in the same arch.
• * For example, tooth A \& J, B \& I, S \& L, or T \& K
• * For each participant, a minimum of one SSC or one PRC will be randomly assigned via a split mouth design to be placed as part of the study.
• * Need for Full coverage and high caries risk will be defined by AAPD Best Practice Guidelines 2,16
• 1. Extensive caries
• 2. Cervical decalcification
• 3. Developmental defects (e.g., hypoplasia, hypocalcification)
• 4. When failure of other available restorative materials is likely (e.g., interproximal caries extending beyond line angles, patients with bruxism)
• 5. Following pulpotomy or pulpectomy
• 6. For definitive restorative treatment for high caries-risk children as defined by the AAPD
• 7. For patients who exhibit high caries risk and whose treatment is performed under sedation or general anesthesia. This would be normal and not specific to the study.
• * Participants who consent to the study, and who can be available for follow-up recall appointments.
• * All participants will be ASA I or ASA II as defined by the American Society of Anesthesiologists.15
• * Participants who do not meet inclusion criteria will be excluded.
• * Participants whose teeth do not meet the inclusion criteria.
• * Participants who do not wish to participate in the study.
• * Patients who do not wish to or cannot reliably return for follow-up visits.
• * Red dye allergy as patient will not be able to be plaque disclosed during follow-up visits.
• * Participants who do not speak English, Spanish, Arabic, Uzbek, Nepali, Chinese Mandarin, Russian, French.