Crowns for baby teeth

Dental crowns for children are a quick, painless and effective solution to protect damaged baby teeth. Orthopedic structures prevent further tooth decay and facilitate the chewing process, which is important for a child’s healthy nutrition. In addition, crowns save children from anxiety and embarrassment associated with the appearance of damaged teeth and improve their self-esteem.
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Why save baby teeth?

It is important to maintain the health of primary teeth, since they play a major role in the formation of the bite and have a significant impact on the condition of the molars. From the age of six, children's teeth begin to gradually fall out, giving way to larger permanent teeth. During the same period, a parallel process is observed in the jaws: the roots of baby teeth are absorbed, and permanent teeth move to the surface of the gum. Around the age of 12-14 years, the last primary chewing tooth falls out.

Removing baby teeth ahead of time causes the following problems:

  • Shortening of the dentition, leading to underdevelopment of the jaw
  • Problems with diction, especially in children 5-6 years old, caused by malocclusion
  • Development of periodontitis, which is accompanied by pain, swelling and redness of the gums
  • Difficulty chewing food due to missing teeth
  • Inflammatory processes in the intestines that reduce immunity

Unpleasant symptoms may not appear immediately, but by preschool age they become noticeable. Parents notice that the child takes a long time to eat, pronounces words incorrectly, or is embarrassed about his appearance when laughing.

Many parents wonder at what age can you put crowns on your teeth? Installation of crowns for children under 2-3 years of age is often considered for serious pathologies: early development of caries, for example, caries of baby teeth that occurs in infancy. The need also arises in cases of congenital abnormalities of dental development, including enamel hypoplasia or genetic diseases affecting the structure and health of teeth.

Why save baby teeth?
Indications for crown installation

Crowns are indicated in the following cases:

  • Destruction of a baby tooth is more than 50%. This level of damage significantly reduces its functionality
  • Problems with enamel. In the presence of fluorosis (excessive accumulation of fluoride leading to changes in the enamel) or hypoplasia (underdevelopment of the enamel), a prosthetic restoration is necessary to ensure proper protection and function of the tooth
  • Removal of a nerve for pulpitis. Against the background of the inflammatory process in the pulp, the tooth becomes more fragile and vulnerable, so a crown is required
  • Bruxism and increased abrasion of enamel. Lead to damage to baby teeth and their early loss
  • Multiple caries. Common carious lesions affect several teeth and therefore require the installation of crowns to restore their function and appearance

If a baby tooth has minimal damage, it can be restored with a small filling, without the need for a crown. In cases where there is no more than a year left before the natural replacement of a baby tooth and the x-ray image already shows a permanent tooth preparing to erupt, a crown is also not installed. The doctor chooses more conservative treatment methods.

Contraindications for installing crowns for children

Children's crowns for baby teeth are suitable for most children, but there are exceptions. It is important to consider individual sensitivity to the materials used to make crowns. If the child has a history of allergies to the components of the orthopedic structure, the doctor selects another treatment method.

Another factor is the stage of tooth root resorption. If the resorption process has captured 50% of the root tissue, prosthetics with children's crowns on the teeth does not make sense. This usually happens a couple of years before natural tooth loss.

In addition to allergies and the stage of root resorption, there are other contraindications to the installation of children's crowns:

  • Deep caries or periodontitis requiring preliminary treatment
  • Severe diabetes mellitus
  • Blood diseases

In such cases, the doctor selects alternative methods of treating baby teeth.

Crown or filling – what to choose

Sometimes dentists recommend installing a crown on baby teeth instead of a filling.

In cases where the baby tooth already has a filling and there is no permanent tooth germ, installing a crown can be especially important. The crown protects the tooth from further damage, allowing it to be preserved until the bite is completely changed or even up to 18 years. This makes it possible for subsequent prosthetics with implantation and installation of a permanent crown.

Advantages of installing a crown on baby teeth instead of a filling:

  • Chewing load A crown is preferable if the tooth damage exceeds 50%. In this case, the filling is ineffective and increases the risk of further damage and chips
  • Possibility of re-installation of a fallen crown In a situation with a filling, you will need to refill the tooth cavity with filling material
  • Protection against caries The crown provides reliable sealing, eliminating the possibility of repeated caries and tissue destruction

Types of children's crowns

Depending on the area in which the restoration is carried out, there are two main types of crowns for baby teeth:

  • For front teeth: Zirconium crowns are often used. They are snow-white, durable and have an aesthetic appearance, do not contain metals and allergens
  • For lateral chewing teeth: In most cases, metal crowns made of nickel-chromium alloy are used in this area. They are characterized by increased strength, durability and a more affordable price. The structures can withstand increased loads and adapt to the unique shape of each tooth

Children generally adapt well to the use of metal crowns.

General information about the procedure

How does the process of installing crowns work

The installation process usually lasts 30-40 minutes. It consists of the following stages:

  1. Inspection and diagnostics. First, the dentist examines the child’s oral cavity for inflammation and caries. Additionally, he prescribes dental x-rays for a more in-depth assessment of the condition of the teeth and treatment planning
  2. Treatment. The doctor removes damaged tissue and prepares the tooth for a crown. Removal is performed using local anesthesia, sedation or general anesthesia (at the age of 2-3 years)
  3. Fixation of the crown. The doctor selects a suitable crown and attaches it to the tooth. Parents are provided with information about aftercare, and the child is helped to get used to the new tooth

Crowns do not create discomfort when worn. They are custom-made to fit exactly the size and shape of each tooth.

After installing a crown, the following symptoms may appear:

  • Feeling of pressure due to tooth restoration
  • Change in gum color that goes away within a few hours
  • Pain when brushing teeth and while eating in the first days

In rare cases, after the installation of crowns for children, a fibrin film forms on the gum, which is considered a sign of healing of the gingival margin. It is recommended to consult with your doctor. Modern crowns are comfortable to wear and fall out along with baby teeth.

Care for children's teeth after crowns are installed

The key aspect of care is regular brushing of your teeth twice a day: in the morning after breakfast and in the evening after dinner. Particular attention should be paid to the areas around the crown, brushing gently to prevent injury to the gums. It is important to prevent the formation of plaque, which can cause gum inflammation. It is also worth explaining to your child that you should not bite nails and pencils.

In the first 3-5 days after crown installation, the following are excluded from the child’s diet:

  • Hard food
  • Sour foods, including freshly squeezed juices
  • Hot food and drinks

This approach helps to avoid discomfort and chipping, and promotes adaptation to the crown.

If dental treatment was carried out under local anesthesia, the child may experience discomfort in the face, numbness of the lips and cheeks for 1-1.5 hours. They vary in intensity, from mild discomfort to intense pain. It is permissible to take a painkiller.

During this period, it is important to ensure that the baby does not harm himself, for example, does not bite a numb lip or cheek. To distract attention from unpleasant sensations, you can offer him an interesting activity or game.

Our doctors

Shcherbakova
Valentina Frantsevna
Head of the Department of Dentistry, dentist
Egorova
Natalya Vasilevna
Head of the dentistry department, dentist-therapist, dentist-orthopedist
Elfimova
Natalya Vladimirovna
Head of the dental department, dentist-surgeon, implantologist
Cherkasov
Alexei Andreevich
Dentist-surgeon, implantologist, therapist
Samoilova
Nana Nugzarovna
Dentist-therapist, microscope
Ivashkevich
Sergei Georgievich
Dentist-surgeon, implantologist
Samartseva
Natalya Victorovna
Dentist-surgeon, implantologist, therapist
Korneeva
Evgeniya Sergeevna
Dentist-surgeon, periodontist
Bagaev
Omar Makhachevich
Dentist-therapist, pediatric
Grigoryeva
Regina Bogdanovna
Dentist-therapist, endodontist
Najaryan
Liana Artyomovna
Dentist-surgeon, implantologist
Ibragimova
Olesya Kayinbekovna
Dentist-therapist, microscopist
Nikolaeva
Irina Yuryevna
Dentist surgeon, periodontist
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