Bite Force Distribution and Occlusal Adjustment in Stainless Steel Crowns and BioFlx Crowns of Children Aged 4–8 Years
Year: 2026
Type: article
Abstract: enhancing patient comfort.6 Furthermore, some studies indicate that the bioactive properties of these crowns may contribute to improved gingival health and reduced plaque accumulation compared to SSCs.7,8 The inherent flexibility of BioFlx crowns may also offer an advantage in accommodating the dynamic eruptive and occlusal changes characteristic of growing children.Accurate assessment of occlusal contacts and bite force distribution is critical for evaluating the functional success of full coverage restorations.Digital occlusal analysis systems, such as the T-scan (Tekscan Inc., South Boston, MA, United States), provide real-time, objective data on occlusal contacts, force distribution, IntroductIonThe restoration of pulpectomized primary molars is a cornerstone of pediatric dentistry, crucial for preserving arch integrity, maintaining masticatory function, and ensuring esthetics in the developing dentition.1 Premature loss of primary molars can lead to various complications, including space loss, malocclusion, and impaired chewing efficiency, thereby affecting a child's overall oral health and quality of life. 2 Therefore, selecting an appropriate restorative material that provides durable full coverage protection while facilitating optimal occlusal adaptation is paramount.For decades, stainless steel crowns (SSCs) have been the gold standard for restoring severely compromised primary molars, particularly after pulpectomy.Their widespread use is attributed to their exceptional durability, cost-effectiveness, and ability to provide complete coronal coverage, effectively protecting the tooth from further degradation and bacterial ingress.3 However, SSCs present certain limitations, including their metallic appearance, which can be esthetically unappealing to both children and parents, and their inherent rigidity.This rigidity can lead to transient occlusal disturbances and a period of discomfort immediately following cementation, often necessitating occlusal adjustments to achieve proper bite alignment.4 In recent years, newer restorative options have emerged, offering alternatives to traditional SSCs.Among these, BioFlx crowns represent a significant innovation.These preformed crowns are fabricated from flexible, bioactive resin materials designed to mimic the natural resilience and translucency of tooth structure.5 Proponents of BioFlx crowns suggest that their flexibility allows for better marginal adaptation and a more physiological response to masticatory forces, potentially reducing occlusal discrepancies and 1,
Institutions: Government of India, Rajasthan Dental College and Hospital
Language: English
Subfield: Orthodontics
Field: Dentistry
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7128685997