Stainless Steel Crowns

The American Academy of Pediatric Dentistry has defined the guidelines for the use of stainless steel crowns:

  1. If a pulpotomy (nerve treatment) is indicated.
  2. The tooth has such an area of decay large enough to make the remaining tooth structure insufficient to hold a traditional filling.
  3. tooth that has formed incorrectly or has fractured.

Our general dentist said the tooth could be filled.

Dr. Morgan has undergone an additional two years of specialized training to treat primary (baby) teeth. How he treatment plans restorative procedures for your child is based on the guidelines set forth by the American Academy of Pediatric Dentistry. Where indicated, the stainless steel crown is the superior treatment option for your child's tooth. If a filling is done when a stainless steel crown is indicated, the filling could fail. Your child might need to have the tooth retreated in the future (which might not be covered by your insurance), or extracted. In most cases, the stainless steel crown should last until the tooth comes out naturally.

Are there any crown options that look nicer (white crowns)?

As technology advances, Dr. Morgan hopes to be able to offer your child a more esthetic crown option for their posterior teeth (molars). Currently, white crown are available for primary front teeth, but the materials currently being marketed for restoring the molars are stainless steel crowns with white "facings". These are far inferior to stainless steel crowns as the white portion of the crowns have been shown to fracture away, leaving a rough surface.