ReviewFrontiers in dental medicine2026
Longevity of stainless steel crowns in molar incisor hypomineralization: a systematic review.
Review in Frontiers in dental medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Molar incisor hypomineralization (MIH) is a developmental enamel defect frequently affecting permanent first molars, often leading to hypersensitivity, post-eruptive breakdown, and restorative failure. The compromised mechanical and adhesive properties of hypomineralized enamel make restorative management challenging, particularly in severe cases. Stainless steel crowns (SSCs) are widely advocated for full coronal coverage in such teeth; however, variability in reported outcomes and the increasing use of alternative restorative materials necessitate a systematic evaluation of their clinical performance. Objective: This systematic review aimed to compare the survival and clinical success of stainless steel crowns with alternative restorative approaches in the management of severely MIH-affected permanent molars in children and adolescents. Methods: The review was conducted in accordance with PRISMA guidelines and the Cochrane Handbook for Systematic Reviews of Interventions. Electronic searches were performed in PubMed, Scopus, Web of Science, and the Cochrane Library up to December 2025. Studies involving children aged 6-15 years with severe MIH affecting permanent first molars were included. Interventions comprising SSCs were compared with composite restorations and other full-coverage crowns. Eligible study designs included randomized controlled trials, retrospective studies, and clinical observational studies. Risk of bias was assessed using the Newcastle-Ottawa Scale. Due to heterogeneity among studies, a qualitative narrative synthesis was performed. Results: Five studies met the inclusion criteria. Across all included studies, stainless steel crowns demonstrated consistently higher survival and success rates compared with composite restorations and ceramic crowns over follow-up periods ranging from 12 to 24 months. SSCs showed superior retention, marginal integrity, and reduced need for retreatment, particularly in teeth with extensive enamel breakdown and hypersensitivity. Alternative restorations, especially multi-surface composite restorations, exhibited higher failure rates over time. Conclusion: Within the limitations of the available evidence, stainless steel crowns exhibit superior clinical survival and success compared with alternative restorative techniques in the management of severely MIH-affected permanent molars. SSCs remain a reliable, durable, and cost-effective treatment option for children with severe MIH. Further high-quality randomized controlled trials with longer follow-up periods and standardized outcome measures are required to strengthen the evidence base. Systematic Review Registration: PROSPERO CRD420251274395.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.