Clinical dilemma and indication selection of restoration for permanent tooth defects in adolescents
10.19723/j.issn.1671-167X.2025.01.031
- VernacularTitle:青少年恒牙牙体缺损的修复难点及过渡修复的方式选择
- Author:
Yawen CHENG
1
;
Deli LI
;
Yan ZHAO
;
Bin XIA
;
Yunsong LIU
Author Information
1. 北京大学口腔医学院·口腔医院第二门诊部,国家口腔医学中心,国家口腔疾病临床医学研究中心,口腔数字化医疗技术和材料国家工程实验室,口腔数字医学北京市重点实验室,北京 100081
- Publication Type:Journal Article
- Keywords:
Adolescents;
Permanent teeth in adolescents;
Interim restoration;
CAD/CAM resin-matrix ceramics;
Polymeric porcelain
- From:
Journal of Peking University(Health Sciences)
2025;57(1):208-213
- CountryChina
- Language:Chinese
-
Abstract:
Adolescence is defined as a population ranging from ten to nineteen years old.Permanent teeth in adolescents are of critical significance as they are actively involved in mastication,contribute to aesthetic appearance,play a role in pronunciation,and are integral to the growth and development of the stomatognathic system.Specifically,permanent teeth in adolescents comprise those with incomplete root development and those with complete root development but unstable gingival margin positions.However,the prevalence of permanent tooth defects among adolescents remains high,primarily due to their insuffi-cient awareness of oral health care and poor compliance with preventive measures.Therefore,it is very important to emphasize the necessity for timely and appropriate restoration of permanent tooth defects in adolescents.Given the distinct physiological characteristics of adolescent permanent teeth compared with mature permanent teeth,interim restoration approaches are required.The field of adolescent permanent tooth restoration is an interdisciplinary area,involving both prosthodontics and pediatric dentistry.Cur-rently,a comprehensive and standardized principle for the selection of restoration indications is lacking,which poses challenges for clinicians in making optimal treatment decisions.Therefore,this article aims to comprehensively summarize the clinical dilemmas associated with the restoration of adolescent perma-nent teeth,and propose a set of principles for the selection of restoration methods and materials,aiming to offer practical clinical guidelines for dentists when dealing with permanent tooth defects in adolescent patients.In particular,because of the different restoration dilemmas of anterior and posterior permanent teeth,a variety of interim restoration methods,their applicable conditions,advantages,and disadvanta-ges are introduced respectively.Additionally,it provides an in-depth discussion of different interim resto-ration materials,including direct restoration materials like light-cured composite resin and dual-cured temporary crown resin,as well as indirect restoration materials such as polymeric porcelain and CAD/CAM resin-matrix ceramics.The goal of this research is to provide a foundation for the development of evidence-based restoration plans in clinical practice and to contribute to the establishment of future standards in the field of adolescent permanent tooth restoration.This will enhance the quality of dental care for adolescents and promote better oral health outcomes in this population.
