Evidence map›Paper›PMID 41612344›Full record

SynthesisBMC oral health2026

Effectiveness of prefabricated zirconia crowns and resin-bonded composite strip crowns in the restoration of pediatric primary anterior teeth: a systematic review and meta-analysis.

Yi Chen, Hongyu Pu, Rongsheng Xu, Rui Zeng

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC oral health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Yi ChenDepartment of Stomatology, Zigong First People's Hospital, No. 42, Shangyi Hao 1st Road, Zijing District, Zigong, Sichuan, 643000, China. 1049273386@qq.com.
Hongyu PuDepartment of Orthopaedic Surgery, Fushun People's Hospital, Fushun, Zigong, Sichuan, 643000, China.
Rongsheng XuOral Medicine and Surgery, The Stomatological Hospital of Neijiang, Shizhong District, Neijiang, Sichuan, 641000, China.
Rui ZengDepartment of Science and Education, Fushun People's Hospital, Fushun, Zigong, Sichuan, 643000, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrefabricated zirconia crowns (PZCs) and resin-bonded composite strip crowns (RCSCs) represent the principal restorative approaches to handle caries in anterior primary teeth. However, the comparative effectiveness of these two materials remains inconclusive. This research aimed to systematically evaluate and compare the effectiveness of PZC and RCSC in the restoration of pediatric primary anterior teeth.

methodsA search was implemented across multiple databases, encompassing Web of Science, PubMed, Embase, and The Cochrane Library. The search duration was from database inception to June 21, 2025. The Cochrane Risk of Bias Tool (RoB 2.0) was implemented to estimate the RoB in the eligible articles. The therapeutic effectiveness and adverse effects of PZC and RCSC were estimated by computing risk ratios (RR) and their corresponding 95% confidence intervals (CIs). Statistical analysis was implemented utilizing Stata 16 software.

resultsIn total, 2725 articles were identified. Nine studies that involved 1746 primary anterior teeth from children aged 3–6 years were included. The incidence of secondary caries was considerably diminished in the PZC cohort relative to the control cohort (RR = 0.41, 95% CI: 0.18–0.92, p = 0.030). Wear of the opposing teeth was significantly greater in the PZC cohort relative to the RCSC cohort (RR = 7.58, 95% CI: 2.73–21.07, p < 0.001). The retention rate of the PZC cohort was notably higher than that of the RCSC cohort (RR = 0.15, 95% CI: 0.07–0.33, p < 0.001). No considerable distinctions were detected in color mismatch between the two cohorts (RR = 0.24, 95% CI: 0.05–1.21, p = 0.084). The incidence of restoration failure was considerably diminished in the PZC cohort (RR = 0.07, 95% CI: 0.02–0.22, p < 0.001). The likelihood of gingival bleeding displayed no statistically significant distinction between the two cohorts (RR = 0.09, 95% CI: 0.01–1.73, p = 0.109). Plaque formation was considerably less frequent in the PZC cohort (RR = 0.08, 95% CI: 0.01–0.23, p < 0.001). The marginal fit was considerably superior in the PZC cohort (RR = 0.50, 95% CI: 0.05–8.70, p = 0.672).

conclusionPZCs demonstrated superior performance in terms of secondary caries prevention, crown retention, success rates of restoration, marginal fit, and plaque accumulation. In contrast, RCSCs exhibited significantly less wear of opposing teeth.

Indexed as

Composite ResinsCrownsDental CariesDental Restoration, PermanentTooth, DeciduousZirconiumChildChild, PreschoolDental Prosthesis DesignHumansComposite ResinsZirconiumzirconium oxideEarly childhood cariesEsthetic crownsMeta-AnalysisPrefabricated zirconia crownsPrimary anterior teethResin-bonded composite strip crowns

Identifiers

PMID41612344
PMCPMC12931052

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.