In some cases, a cavity in a baby tooth can be so extensive that a regular filling may not fully restore the tooth. In that case, a crown will need to be placed on that tooth. These primary teeth crowns differ from permanent teeth crowns in that they can be placed in only one visit. For the front upper teeth, we will always place a white esthetic crown. Most of the crowns we place on the back teeth are stainless steel (silver) however, in some circumstances a white zirconia crown we can be placed. Talk to your doctor to see if a white zirconia crown would be an appropriate restoration.
Local Anesthesia (shot) is used to numb the tooth and surrounding tissues. The doctor uses a dental hand piece to remove decayed tooth tissue and to make the tooth slightly smaller to allow for the correct fit of the crown. A crown is then tried in to find the correct size. Once the appropriate crown is selected, the crown is cemented to the tooth. The patient’s lips and tongue could be numb for another 3 hours after the appointment. Please help your child to not bite or chew on their lips or tongue.
Also, because the crown has to sit below the gums, some minor bleeding can be expected for the next day or two. If your child has pain after the appointment, you can give him/her ibuprofen according to the directions of the bottle. If crowns have been placed on the front teeth, we ask that you not allow your child to bite anything really hard (apples, carrots, tough meat) to prevent the crowns from falling off. The back crowns are usually more resistant to falling off, but please do not have your child eat anything really sticky (dots, hard caramel). Please call our office you have any questions.