A 5 year old male patient complains of multiple carious teeth and has the habit of frequent snacking and is fond of chocolates. Intra-oral examination shows grossly carious mandibular molars. Radiologic findings reveal proximal caries with mandibular canines and grossly carious molars. Which of the following crowns should be considered during restoration of this tooth?
Correct Answer: Stainless steel crown
Description: The indications for the use of stainless steel crowns in pediatric dentistry include the following:
Restorations for primary or young permanent teeth with extensive and/or multiple caries lesions.
Restorations for hypoplastic primary or permanent teeth that cannot be adequately restored with bonded restorations.
Restorations for teeth with hereditary anomalies, such as dentinogenesis imperfecta or amelogenesis imperfecta.
Restorations for pulpotomized or pulpectomized primary or young permanent teeth when there is increased danger of fracture of the remaining coronal tooth structure.
Restorations for fractured teeth.
Restorations for primary teeth to be used as abutments for appliances.
Attachments for habit-breaking and orthodontic appliances.
The composite materials have proved to provide a more satisfactory interim restoration for many of these teeth. Such a bonded composite build-up restoration allows for the preservation of all sound tooth structure and depends on the presence of some enamel surfaces to provide bonded retention for the restorative material. Any soft defective areas are excavated, but little or no additional tooth preparation is done. Usually even undermined enamel surfaces are preserved for additional retention and support of the restorative material.
Category:
Dental
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