Dental Crown for Children: What Parents Should Know

Why Would a Child Need a Dental Crown?

Cavities are the most common reason. When decay has undermined too much of a tooth for a filling to be successful, a crown offers more protection. It covers up the weakened spot rather than leaving a thinner sliver that’s more likely to break.

Another reason for a crown is extensive damage. Sometimes the pulp of a tooth has been hurt because the cavity was so severe. In that case, a crown can help protect what’s left of the tooth after its pulp has been treated.

The Value of Baby Teeth

They help a child eat and speak comfortably. They also make room for a permanent set of teeth. If severely damaged baby teeth are removed, the adjacent teeth can shift into the empty spaces, causing a dental problem when the permanent teeth erupt.

So if a crown is an option, instead of pulling out a badly damaged primary tooth, the dentist is doing the responsible thing by trying to maintain the integrity of the tooth.

What to Expect During a Crown Procedure?

The dentist starts by examining the affected tooth and removing the decayed portion. Any endodontic treatment that needs to take place is performed at this point. Then the dentist places a crown on top of the remaining tooth structure, securing it in place.

For most children, the novelty of sitting in the dentist’s chair and having their tiny mouths explored is the most intimidating aspect of the crown procedure. Beyond that, once the crown is put on, it’s not something they think about.

What Type of Crown Is Used?

Steel crowns are placed on baby molars because they can withstand the rigors of chewing. They aren’t chosen for their cosmetic appeal, but for their durability.

On baby front teeth, the dentist may talk to the parents about a tooth-coloured crown, if esthetics are a concern. The type of crown depends on the child’s age, the tooth or teeth that need work, the extent of the damage and how long the crown is likely to need to last.

Parents often think about the appearance of the crown. And rightly so. But for a primary molar, strength is more important than esthetics. That’s because primary molars have a much longer lifespan than front teeth.

Caring for a Dental Crown in a Child

Even though the crowned tooth has been reinforced, the care of the child’s teeth shouldn’t change. The crown is helping the tooth, but it won’t compensate for other dental hygiene habits.

• Brushing twice a day is still an important part of crown care, even if the crowned tooth looks healthy.

• Sticky candies should be avoided since they tend to cling to teeth and contribute to decay. This is especially true for the crowned tooth, but actually any teeth that are adjacent to the crown should be monitored closely since plaque can build up in these areas.

• Flossing around the teeth adjacent to the crowned tooth is also a good idea. Plaque buildup around the crown can be a problem.

• If a crown becomes loose or falls off completely, don’t wait for the next dental appointment to have it looked at. Call the dentist and ask what you should do.

• Sensitivity after the crown has been placed is not unusual. The sensitivity should subside after a while, but if there is persistent discomfort or pain, the dentist should see the child to rule out any other problems.

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Disclaimer

The insights shared in our articles are meant to educate and inform, not to replace a face-to-face consultation. Every smile is unique, and a proper diagnosis can only be made by a qualified clinical professional. Please book an appointment with our team or consult your local dentist for advice tailored to your specific oral health needs.

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