Clinical Performance, Child and Parental Satisfaction of Bioflx and Stainless Steel Crowns in Pediatric Patients, A Systematic Review

Abstract

Background: Pediatric dental restorations aim to improve oral health and function while maintaining aesthetics. Stainless steel crowns and tooth-colored Bioflx crowns are two commonly used options, yet their comparative clinical performance and patient/parent satisfaction remain unclear. Objective: To systematically review the current evidence on the clinical performance, child and parental satisfaction of Bioflx and stainless steel crowns in pediatric dental patients. Methods: A comprehensive search was conducted in multiple electronic databases, including Pubmed, ScienceDIrect, Google Scholar and Cochrane Library, for relevant studies published up to July 2024. Randomized controlled trials, prospective and retrospective cohort studies, and case-control studies evaluating the clinical outcomes and patient satisfaction of Bioflx and stainless steel crowns in children were included. The Cochrane risk of bias tool was used to assess the quality of the included studies. Results: The review found that SSCs demonstrated superior retention and durability, with no dislodgement reported in some studies over a 12-month follow-up period. Bioflx crowns, on the other hand, showed better plaque resistance and were preferred by both children and parents due to their natural aesthetic appearance. While Bioflx crowns had slightly lower retention rates, they were favored for their resemblance to natural teeth, particularly in anterior restorations. Parental satisfaction was higher for Bioflx crowns, though some concerns about their long-term durability were noted. Conclusion: The results suggest that while SSCs continue to be the preferred choice for their durability, Bioflx crowns offer a viable alternative for patients prioritizing aesthetics. The choice between SSCs and Bioflx crowns should be guided by individual patient needs, balancing the trade-offs between aesthetic appeal and long-term clinical performance. Further research is recommended to explore the long-term outcomes of Bioflx crowns.