Stainless steel crowns for posterior teeth

Date: 2015-10-07; view: 593.

Chrome steel crowns, as introduced by Humphrey in 1950, have proved to be serviceable restorations for children and adolescents and are now commonly called stainless steel crowns. There are a number of indications for the use of stainless steel crowns in pediatric dentistry, including the following:

1. Restorations for primary or young permanent teeth with extensive and/or multiple carious lesions

2. Restorations for hypoplastic primary or permanent teeth that cannot be adequately restored with bonded restorations

3. Restorations for teeth with hereditary anomalies, such as dentinogenesis imperfecta or amelogenesis imperfecta

4. Restorations for pulpotomized or pulpectomized primary or young permanent teeth when there is increased danger of fracture of the remaining coronal tooth structure

5. Restorations for fractured teeth

6. Restorations for primary teeth to be used as abutments for appliances

7. Attachments for habit-breaking and orthodontic appliances

Children with extensive decay, large lesions or multiple surface lesions in primary molars should be treated with stainless steel crowns. After tooth preparation, which includes occlusal, approximal and vestibulolingual reduction, standard selected crown is fixed with cement.