When there is insufficient tooth structure to support a filling on decayed or damaged primary teeth, crowns are often the best option.
The alternative to the use of a crown would be extraction, which can result in complications if a primary tooth is removed too soon. This can lead to tipping of primary teeth and blockage/crowding of erupting permanent teeth. Due to this, additional treatment may be required, including orthodontic treatment.
By using crowns, the primary tooth can continue to serve as a placeholder until permanent teeth have reached full maturity, while addressing tooth decay at the same time.
Stainless Steel Crowns
A stainless steel crown is the most commonly used type of crown in pediatric dentistry. Many people refer to these as “silver” crowns. A silver crown is very strong and durable, making it an excellent choice for molars with larger cavities. Rarely, they can cause localized tissue irritation and may contribute to metal allergies.
Composite Resin Crowns
When properly prepared, this type of crown is extremely aesthetic. It takes considerable time and skill to place these crowns. On small, uncooperative children, placing these crowns can be difficult, and sometimes sedation is necessary. Strip crowns are entirely composed of composite “white” filling materials. Despite its natural appearance, this filling material tends to absorb stains and discolor over time. Additionally, if it is not kept clean, plaque can form. A resin crown is also much weaker than a stainless steel crown, and there is a much higher risk of it chipping or fracturing.
For more information on pediatric dental crowns, please contact Sweet Tooth Pediatric Dentistry today.