Clinical considerations for preformed zirconia crowns in early childhood caries: A case series and review of literature

Rajesh Hemant Bariker1Orcid, Jorge Casián-Adem2Orcid, Ivonne Segovia3Orcid


Rehabilitation of severely destroyed primary anterior teeth are among the challenges faced by pediatric dentists. The use of aesthetic restorations has become an important and necessary aspect nowadays.
This paper reports important clinical considerations in detail for case selection, appropriate crown selection, and step-by-step tooth preparation for preformed pediatric zirconia crowns.
Preformed zirconia crowns continue to exceed expectations due to their excellent aesthetics, superior durability, and better survival rates compared to conventional restoratives.


Early childhood caries (ECC) is a prevalent disease worldwide and the major reason for the destruction and early loss of primary anterior teeth in children. It is paradigmatic to manage and treat this predicament in early childhood, as the affected teeth play a key role in aesthetics, phonetics, eating, and pronunciation. These teeth are influential to proprioceptive inputs of pre-maxilla and maintaining space for the timely eruption of permanent teeth. Aesthetic alternatives to preformed metal crowns have been developed in recent years. This paper describes the clinical considerations, protocol for the implementation, and maintenance for successful rehabilitation of anterior teeth affected by ECC restored with preformed zirconia crowns.

Keywords: Aesthetics; Crown; Dental Caries, Primary Teeth, Zirconium 

Author Affiliations

  1. Chief Pediatric Dentist, KidsDentist® Exclusive Pediatric Dentistry Centers,
    Bengaluru, India ( Correspondence:
  2. Private practice, Pediatric Dentistry and Orthodontics, Veracruz, Mexico
  3. Private Practice, Pediatric Dentistry, Hospital Ángeles Lindavista, Mexico city, Mexico
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Article Info

Contemp Pediatr Dent 2022:3(1)24-34

Received: 10 February 2022

Accepted: 28 April 2022

Online First: 13 May 2022


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					Rajesh Hemant Bariker, Jorge Casián-Adem, Ivonne Segovia. Clinical considerations for preformed zirconia crowns in early childhood caries: A case series and review of literature. Contemp Pediatr Dent 2022:3(1):24-34

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