Stainless steel crown in pediatric dentistry: When your tooth fairy is your dentist!

Stainless steel crown in pediatric dentistry When your tooth fairy is your dentist

Parents are never comfortable with their kids getting stainless steel crowns. You are always going to hear them ask questions such as, “Isn’t my kid too young for that?” On the other hand, parents who know more about stainless steel crowns tend to opt for them instead of pulling out their kid’s molar.

The fact is that this form of preventative care is common in pediatric dentistry. Parents should understand that any type of tooth is essential for specific functions.

Your kids need the teeth in chewing or instilling confidence. It is also one of the best ways to prevent further tooth-related problems to your kid.

What are the stainless steel crowns?

Stainless Steel Crowns or SSCs are crowns that come in a tooth shape with the sole purpose of preventing further damage of a kid’s natural teeth. Once a doctor places them on top of a molar, they are going to ensure they retain its structure and integrity, thus preventing other problems that may occur later. Remember, more extensive decay can end up compromising the effectiveness of your kid’s teeth.

It is, therefore, important that before it reaches that point, they get this preventative care. Stainless steel crowns in pediatric dentistry is one of the best ways to help your kids retain their natural tooth. They also help in space maintenance of the kid’s tooth.

stainless steel crowns

The main types of stainless steel crowns in pediatric dentistry

Before you end up fitting your kids with stainless steel crows, you must know the different types available. The pediatric dentist is first going to assess your kid’s teeth and decide which type of these incredible crowns are suitable for his or her teeth. Some of the main types include:

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Crowns with straight sides

These are the type of stainless steel crowns that tend to follow the tooth’s gingival contours. For different reasons, the gingival margins can undergo trimming for the crowns to fit perfectly. Some other things to expect are crimping and contouring to ensure excellent gingival adaptation to the tooth the dentist is preparing.

The good news about this type of stainless steel crowns is that the doctor has to do the modifications on the crown. Not so much on the tooth that is about to get the crown. It is among the least time consuming restorative, pediatric dentistry procedures.

Crowns that are pre-formed and pre-crimped

As the name states, these crowns come from the manufacturers ready to use, and they don’t require further forming or crimping. That means if the crown doesn’t adapt, the pediatric dentist is going to remove the gingival crimp of the manufacturer. He or she is also going to make numerous modifications to the kid’s tooth that is if the changes on the crown still pose an adaptation issue with the kid’s tooth. It is thus a little bit complex than that actual procedure.

Aesthetic crowns

These crowns are recent, but their use is still on hold since they are a bit bulky, they don’t have a natural shape of a tooth, and they tend to promote poor gingival health. They are also much more expensive than the other two types.

Aesthetic crowns

How does the doctor know your kids require stainless steel crowns?

As you take your child to the doctor for a check-up, he or she is going to check for indications for use. These are the reasons that require the use of stainless steel crowns. They include:

  • If the kid has localized developmental defects. These include enamel hypoplasia, Amelogenesis imperfecta, and dentinogenesis imperfecta.
  • The restoration of carious molars if more than two surfaces have carious lesions.
  • Indication due to emergency measure decrease sensitivity of the teeth.
  • Massive loss of tooth surface because of bruxism, attrition, or Abrasion.
  • If there are carries recurring around the current restorations.
  • If the kid is an inpatient, about to undergo restorative care under general anesthesia for two or more surfaces.
  • If the kid is an inpatient and has high caries susceptibility.
  • If the kid has a single tooth crossbite.
  • Restoration of primary molars due to fractures.
  • In case there is a temporary restoration of permanent teeth and young permanent molars that follow endodontic treatment.
  • If the child requires to use the stainless steel crown as an abutment for other appliances, including space maintenance.

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The pediatric dentist may also advise against using stainless steel crown if:

  • The primary molar is about to exfoliate within 6 to 12 months.
  • The tooth shows too much mobility.
  • There is partial eruption on the tooth.
  • The tooth is aesthetically unappealing.
  • The kid has a nickel allergy.
  • There is evidence of radicular pathology through radiography.

The pediatric dentist must have a look at those contraindications before proceeding with the procedure. During selection, the doctor has to pick the stainless steel crowns whose mesial-distal width is correct. The height of the crown is also crucial for the right occlusion. It is also essential for the dentist to note that he or she can perform only minor adjustments on a pre-crimped crown. That means that he or she should take extra caution during the selection process. These details are essential for the perfect adaptation of the stainless steel crown.

Stainless steel crows in pediatric dentistry is one of the best ways to protect the surface of a kid’s molar. Contrary to other parents’ believe, the whole idea protects the kid and ensures he or she gets to enjoy the advantages that come with having fully functional natural teeth. The pediatric dentist should, however, make sure indication before proceeding.


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