Crowns in Pediatric Dentistry: A Review

Maintenance of the primary dentition in a nonpathologicand healthy condition is importantfor the overall well being of the child. Treatment of the severely destructed teeth poses a challenge for the pediatric dentist as three important considerations have to be kept in mind, patient’s behavioral management, preservation of the tooth structure and parental satisfaction.

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The technological advances in dental materials for use on children that have occurred in the past few decades make constant re-evaluation of our treatment philosophies and techniques a necessitybecause what was an acceptable treatment approach in the past may not necessarily be the best treatment option for our young patients today.

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Effort has been made to bring together the various approaches for full coverage restorations in pediatric dental practice. Each technique and material carries its own advantages and disadvantages.

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Many options exist to repair carious teeth in pediatric patientsas is discussed, from stainless steel crowns to its various modifications to other esthetic crowns like strip crowns and zirconium crowns which are rising in their popularity.



° Garg V, Panda A, Shah J, Panchal P. Crowns in pediatric dentistry: A review. J Adv Med Dent Scie Res 2016;4(2):41-46.
Image: By Trikkelle - Own work, CC BY 3.0, https://commons.wikimedia.org/w/index.php?curid=48700155

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Preformed crowns for decayed primary molar teeth (Review)

Dental caries (tooth decay) affects around 60% to 90% of children globally (WHO Report 2003). It most commonly occurs in primary (baby) molar (back) teeth. If left unmanaged, dental caries will progress to give pain and infection, the consequences of which are unnecessary suffering, and lost days at school (Gift 1992).

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There is evidence of a linear relationship between higher levels of caries and anthropometric outcomes (height, weight and body mass index (BMI)) (Alkarimi 2014).

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Untreated dental caries has an adverse effect on children’s ability to grow and thrive (Sheiham 2006), and in underweight children, extraction of severely carious primary teeth can improve weight gain (Monse 2012).

Teeth undergo a constant process of demineralisation (caused by the acids and enzymes produced by cariogenic bacteria in the dental biofilm (plaque)) and remineralisation (from protective factors such as fluoride and salivary components).

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Dental caries occurs when the rate of demineralisation is greater than that of remineralisation. When dissolution of enamel and dentine leads to cavitation (a hole in the tooth), the carious lesion can no longer be cleaned and it becomes more difficult to arrest the caries process as the biofilm becomes more sheltered, which favours the cariogenic bacteria (Fejerskov 2015).



° odontologiapediatrica.com
° Cochrane Library / Cochrane Database of Systematic Reviews
° Innes NPT, Ricketts D, Chong LY, Keightley AJ, Lamont T, Santamaria RM

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Preparation of stainless steel crown for the rehabilitation of primary molars

Steel crowns are the best method of rehabilitation for primary molar teeth, when they have suffered a fracture, extensive caries or some formation pathology.


The aesthetics are not liked by the patient, but it continues to be the material of first choice, due to the benefits it presents. The video that we share below shows us the steps to follow to make and adapt the steel crowns in pediatric dentistry.

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Source: Youtube/ UT Health San Antonio School of Dentistry
Image : Chompers Pediatric Dentistry

How many types of dental bridges are there? - Recommendation for your care

There are several alternatives to replace the missing dental pieces, one of them is fixed dental bridges. Fixed bridges are called prosthetics that replace missing teeth and provide a bridge that joins adjacent teeth.


The dentist will recommend the fixed bridge that suits you, after a clinical analysis of your mouth. There are three common types of dental bridges, and these are the traditional, cantilever and maryland bridge. This type of prosthesis last for many years, approximately 10 years, as long as there is good hygiene.

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Source: Youtube/ Bondi Dental