Crowns on baby teeth.

I had a patient come in and mention that his little brother had just had 3 crowns done on baby teeth.  His opinion was that this was a total waste of his parents money.  He asked me, “Why would anyone pay that kind of money to  have a crown put on a tooth that is going to be lost in a few years?”.  He was thinking that these were the expensive lab made crowns that cost several hundreds of dollars, but they are actually prefabricated stainless steel crowns that are similar in cost to a filling for a tooth.

The reasons for having a crown doneon a baby tooth are similar to the reasons for having a crown done on a permanent tooth.  When a filling replaces more than 40 % of a baby tooth, a stainless steel crown should be done to strengthen the tooth against breaking apart.  If the baby tooth has had a pulpotomy (removal of the top portion of the pulp tissue, or living tissue inside the tooth), a stainless steel crown should be placed on the tooth to prevent the tooth from breaking apart.

Some individuals are missing a permanent tooth that is supposed to replace a baby tooth.  In these instances, I have done lab made custom crowns to preserve the baby tooth for as long as possible.  I have seen this preserve a baby tooth for years, and even decades.

The main reason for doing any type of crown on a baby tooth is to preserve the necessary space for the permanent tooth to erupt into, or preserve the bab tooth for as long as possible.  It can prevent, or minimize the need for orthodontic treatment when the child finally has all of their permanent teeth in place.  I have had treated children orthodontically only because a dentist had pulled (extracted) baby teeth instead of fixing them.  When a baby tooth is pulled, or lost prematurely, the adjacent teeth tend to move into the space created when the baby tooth is extracted.  This leaves inadequate room for the for the replacement permanent tooth to erupt into the proper alignment with the other teeth and creates a need for orthodontic treatment to resolve the resulting problem.

Whenever possible, baby teeth need to be restored to preserve the space necessary for the permanent tooth to erupt properly.  A crown on a baby tooth may be necessary to accomplish this goal and to strengthen the baby tooth.


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Crowns for baby teeth. » The Tooth Truth…

A crown may be necessary to restore a baby tooth to preserve the necessary space for the permanent tooth to erupt into the proper alignment with the other teeth….

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I was actually wondering about this a week or so ago, mainly because I have “lab” made crowns and they were incredible expensive.

The way that you explained the rational behind this was simple and complete. Thank you for the knowledge base answer.

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Crowns for baby teeth. » The Tooth Truth…

A crown may be necessary to restore a baby tooth to preserve the necessary space for the permanent tooth to erupt into the proper alignment with the other teeth….

comment_type != "trackback" && $comment->comment_type != "pingback" && !ereg("", $comment->comment_content) && !ereg("", $comment->comment_content)) { ?>

I was actually wondering about this a week or so ago, mainly because I have “lab” made crowns and they were incredible expensive.

The way that you explained the rational behind this was simple and complete. Thank you for the knowledge base answer.

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