ArticleInternational journal of clinical pediatric dentistry2025
Antagonistic Primary Tooth Wear Caused by Opposing BioFLX
Article in International journal of clinical pediatric dentistry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
2 citing papers in PubMed.
- Effect of tooth preparation design on fracture load and fracture behavior of deciduous crowns fabricated by subtractive and additive manufacturing.Clinical oral investigations · 2026Article
- Wear resistance and fracture strength of BioFlx, zirconia and stainless steel crowns for primary molars after thermomechanical aging: an in vitro comparative study.BMC oral health · 2026Article
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Authors and funding
4 authors.
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Abstract
Introduction: The choice of crown material for primary teeth restorations is crucial in pediatric dentistry, as it impacts both the restoration's longevity and the wear on opposing teeth. This study aimed to compare the wear on primary teeth and their antagonists when opposed by zirconia, BioFLX®, and stainless steel crowns (SSCs), using a multiaxis computer-controlled chewing simulator (SD Mechatronik CS-4.4) to replicate masticatory mechanisms and forces. Materials and methods: Primary teeth specimens were mounted and paired with opposing preformed crowns of zirconia, BioFLX®, and stainless steel (SS). These pairs were subjected to 2,40,000 chewing cycles using a chewing simulator, simulating 1 year of oral chewing conditions. The volumetric wear of the crowns and their antagonists was measured using digital scanning (Medit Lab scanner) both pre- and postsimulation. Data were analyzed using the Wilcoxon signed-rank test, Kruskal-Wallis test, and Mann-Whitney Results: After 2,40,000 chewing cycles, antagonistic wear varied significantly among crown materials ( Conclusion: Primary teeth opposed by BioFLX® crowns exhibited the least wear, making it the most favorable material for minimizing antagonistic tooth wear. SSCs caused moderate wear, while zirconia crowns resulted in the highest wear on opposing primary teeth. These findings suggest that BioFLX® is a promising option for pediatric restorations, as it better preserves primary tooth structure. Clinicians should consider these results when choosing crown materials to ensure optimal long-term outcomes in pediatric patients. How to cite this article: Pareek P, Tirupathi S, Kumari K,
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