Stainless Crowns: A Robust Dental Option for Primary Teeth A New Solution in Pediatric Dentistry

Stainless Crown

Corrosion-resistant steel crowns, also known as stainless steel dental crowns or SSCs, are prefabricated crowns made from stainless steel that are cemented onto primary teeth. They are used to restore decayed or broken-down primary teeth in children. Corrosion-resistant steel crowns provide a strong, durable coverage for the entire tooth surface that can withstand the forces of chewing and grinding.

When are Stainless Steel Crowns Used?

Corrosion-resistant steel crowns are used in a variety of dental situations involving primary teeth. Some common reasons a dentist may recommend corrosion-resistant steel crowns include:

Extensive Tooth Decay

If a child has extensive decay that has caused the tooth to break down significantly, a Stainless Crowns can completely encase and protect what is left of the tooth. This preservation allows the tooth to continue functioning until it exfoliates naturally.

Multi-Surface Cavities

Large cavities affecting multiple surfaces of a primary tooth weaken the remaining tooth structure. Placing a stainless steel crown reinforces the tooth to prevent further breakdown from forces like chewing.

Root Canal Treatment

Teeth that have undergone root canal treatment require a durable restoration to protect the weakened tooth from fracturing. A stainless steel crown provides the strength and coverage needed.

Esthetic Concerns

Corrosion-resistant steel crowns come in pediatric-friendly shades to match the color of a child's other teeth. This makes them an esthetic option compared to a more traditional silver preformed crown.

Advantages of Corrosion-resistant steel crowns

Corrosion-resistant steel crowns have several advantages that make them a preferable restoration for young primary teeth:

Durability

As they are made from durable stainless steel, SSCs can withstand extensive wear and forces from chewing without breaking down further like other restorative materials may. This longevity protects already weakened teeth.

Single Appointment

Corrosion-resistant steel crowns are prefabricated, allowing dentists to easily size, shape and cement them onto teeth in one appointment. This offers faster treatment compared to multi-visit composite or amalgam restorations.

Long-Term Cost Savings

Because SSCs provide such durable, long-lasting coverage for primary teeth, they eliminate the need for multiple repairs or re-treatment of recurrent decay under less durable restorations - saving costs over time.

Size Options

Corrosion-resistant steel crowns come in many standardized sizes to properly fit all primary teeth. Precise fitting helps ensure maximum protection and function.

Bonding without Tooth Preparation

Unlike other restorations, corrosion-resistant steel crowns don't require removal of additional healthy tooth structure when cemented. The tight-fitting band encircles and preserves remaining tooth.

Disadvantages of Corrosion-resistant steel crowns

While corrosion-resistant steel crowns provide excellent function and protection, there are some potential downsides:

Appearance

Unlike composite or porcelain crowns, SSCs may be more noticeable in the mouth due to their silver-colored metal appearance. However, tooth-colored crowns are available.

Tooth Sensitivity

On rarely occasion, patients may experience temporary sensitivity after cementation as the tooth adapts to the newly restored surface. This usually subsides within a few weeks.

Permanence

Once cemented, corrosion-resistant steel crowns cannot be easily repaired or recemented if they become loose - the tooth would require re-treatment. However, they are intended for exfoliating primary teeth so permanence is not a major concern.

When to Consider Alternatives

Corrosion-resistant steel crowns are usually the best choice for restoring heavily broken down primary teeth. However, in some select cases alternatives may be preferable such as:

- Composite or laminate resins for small, one-surface cavities in esthetic areas.

- Corrosion-resistant steel crowns with tooth-colored facings for very anterior teeth.

- Glass ionomer or resin-modified glass ionomer materials for interim treatments.

Long-Term Success of Corrosion-resistant steel crowns.

Numerous clinical studies have demonstrated the effectiveness of corrosion-resistant steel crowns in restoring primary teeth. When properly fitted and cemented, SSCs typically last until the normal exfoliation of primary teeth without need for repeat treatment or failure. Their durability, coverage, and preservation of tooth structure make them an excellent option for extensively decayed primary molars and other teeth. Corrosion-resistant steel crowns provide children with functioning, protected teeth until their permanent successors emerge.

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