How do you prepare primary molars for stainless steel crowns? Video Presentation

This question was submitted by a general dentist: How do you prepare primary molars for stainless steel crowns and how do you crimp and cement these crowns?

Dr. Suham Alexander, Oasis Discussions Editor, provided this quick initial response

Stainless steel crowns (SSC) have been a very successful treatment modality in pediatric dentistry. Theoretically, they last the lifespan of the tooth. In addition to restoring the tooth, stainless steel crowns offer additional prevention from recurrent decay, especially in high caries-risk children. Overall, they are easy to place and the new generation SSCs require minimal trimming and manipulation. Most often a fluoride-releasing glass ionomer is used for the cementation of the final restoration.

Indications

• Restorative option for primary molars with extensive multi-surface decay
• Restorative option for teeth after pulpotomies or indirect pulp-capping
• Cervical decalcification
• Developmental defects such as amelogenesis or dentinogenesis imperfecta
• Children with disabilities that exhibit severe bruxism
• Intermediate restoration of fractured teeth
• Children with high caries-risk who may or may not be cooperative due to behaviour, age or medical history

Video Presentation: Stainless Steel Crown Preparation 

This video is kindly provided by Dr. Ross Anderson, Assistant Professor and Head, Program Director, Paediatric Dental General Practice Residency, Division of Paediatric Dentistry, Faculty of Dentistry, at Dalhousie University

The video was created by Dr. Ross Anderson; script by Dr. Jill Oxner; and Dr. Terry Farquhar, videographer.

Resources

Duggal MS, Curzon MEJ, Fayle SA, Toumba KJ, Robertson AJ. Restorative Techniques in Paediatric Dentistry: An Illustrated Guide to the Restoration of Carious Primary Teeth. 2nd ed. Martin Dunnitz Ltd. (UK); 2002.

Duggal M, Cameron A, Toumba J. Paediatric Dentistry at a Glance. Wiley-Blackwell (UK); 2013.

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