Dental Fillings Materials and Dental Management against Hypersensitivity Reaction of Stainless-Steel Crown: A Review

Tooth structure damage is usually caused by tooth decay or external damage. Dental fillings are one of the restorative dental treatments used to repair tooth fractures, tooth decay, or damage to tooth surfaces. Dental fillings include composite, porcelain, and silver amalgam, which are used on the tooth surface for better biting and chewing. The aim of this literature review is to assess the merit of stainless-steel crown, the shortcoming of stainless-steel crown, and the hypersensitivity reaction and dental management against hypersensitivity reaction of stainless-steel crown. The method used in this study was by reviewing international journals related to hypersensitivity reaction against stainless-steel crown. The results of this literature review showed that stainless-steel crown had advantages such as good physical properties, less sensitivity to moisture, and less prone to fracture; nevertheless, it had disadvantages such as unstable in acid pH and drastic change of temperature, which led to the release of a metal ion such as nickel into the oral cavity and the emergence of hypersensitivity reaction. The treatment that can be done for hypersensitivity reaction was by doing a patch-skin test before treatment and restoration replacement with non-toxic material. This review can be applied as a consideration on determining restorative treatment, especially in pedodontics restorative treatment.