Traditional dental restoratives, or fillings, are made from composites. The strength and durability of traditional dental materials continue to make them useful for situations where restored teeth must withstand extreme forces that result from chewing, such as in the back of the mouth.
Stainless Steel Crowns
When a child has a large cavity in a primary “baby tooth”, there is often not enough tooth structure left to hold a filling in it. In those cases, a stainless steel crown is used. Stainless steel crowns also are used to repair broken or cracked teeth and teeth weakened by defects. These crowns cover the damaged tooth and provide protection and strength. Because they are pre-made, stainless steel crowns are placed in one appointment and can be easily adapted to the child’s tooth. When the child loses the baby tooth, the crown falls out with it. Baby teeth that have received nerve treatments (pulpotomies or pulpectomies) also need to be restored with stainless crowns.
Esthetic crowns provide an esthetic restoration for both front baby teeth and posterior molars. We use these natural looking crowns to restore children teeth to provide them with a beautiful new smile that will provide self confidence in their smile. These crowns are also pre-fabricated so they are placed in one appointment. The main disadvantage is the white facing can fracture off of the metal crown. Alternatively, however, we also offer crowns that are made of monolithic Zirconia, a ceramic material time-tested for its strength and durability in adult dentistry. It is free of all metals including nickel.
A pulpotomy is a procedure that is performed when the decay reaches the pulp (nerve). When the nerve of a tooth becomes infected a pulpotomy is necessary to save the tooth. During a pulpotomy the infected part of the nerve is removed and a sedative medication is placed inside the tooth to prevent sensitivity and to promote healing. After the pulpotomy is finished, the tooth is restored with a stainless steel crown to re-establish normal chewing function and to continue to hold the space until the permanent tooth can take its place. On the front teeth, stainless steel crowns with tooth-colored facings are available. As an alternative, for front teeth and posterior molars alike, we also offer monolithic Zirconia crowns.