Journal of the Korean Academy of Pediatric Dentistry 2009;36(1):91-95.
Published online February 28, 2009.
Suk-Woo Lee, Jae-Ho Lee, Hyung-Jun Choi, Hyung-Kyu Sohn, Seong-Oh Kim, Byung-Jai Choi
Department of Pediatric Dentistry and Oral Science Research Center, College of Dentistry, Yonsei University 
교정용 밴드를 이용한 구치부 수복
이석우, 이제호, 최형준, 손흥규, 김성오, 최병재
연세대학교 치과대학 소아치과학교실, 구강과학연구소
Correspondence:  Byung-Jai Choi,  Tel: 02-2228-8800, Email:
Received: 20 August 2008   • Accepted: 10 November 2008
The use of stainless steel crowns are indicated for restoration of primary or permanent molars with proximal dental caries, extensive dental caries, or previous pulp treatment with increased danger of tooth fracture. Stainless steel crowns were introduced by Humphrey in 1950. For their improved durability, longevity, and success rate, they have been strongly considered for restoring extensive and multi-surfaced dental caries of molars in pediatric dentistry. However, they also have shortcomings, such as possibility of pulpal exposure or damaging proximal surface of adjacent teeth. In addition, when oversized stainless steel crowns are used, eruption of the adjacent permanent teeth may be disturbed by their prominent margin. As a means to compensate the shortcomings of stainless steel crowns, use of orthodontics bands may be considered. It is an alternative restoration method, where an orthodontic band is placed on a tooth first and cavity is restored with filling material, such as composite resin, glass ionomer, or amalgam. The use of an orthodontic band is indicated for molar restoration with cervical dental caries, extensive dental caries, enamel hypoplasia, or previous pulp treatment. Because it requires shorter chair time compared to stainless steel crown, its application is very useful for children with poor behavior. However, restoration using an orthodontic band requires good oral hygiene after its application. This case report illustrates the conservative restoration of primary molars and permanent molars with extensive dental caries using orthodontic bands.
Key Words: Extensive dental caries, Molar restoration, Orthodontic band

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