A Dentist notices a rash on a child’s wrist while treating a fractured tooth. Upon enquiry, the child says that he was wearing a metal bracelet in that region. Which type of crown should he use for restoring this tooth.
## Core Concept
The question revolves around the management of a tooth in a patient with a metal allergy or sensitivity, as indicated by a rash from a metal bracelet. This scenario suggests the need for a dental restoration material that is non-reactive or hypoallergenic.
## Why the Correct Answer is Right
The correct answer, **C. Glass Ionomer Crown**, is suitable for a patient with metal sensitivity. Glass Ionomer Cement (GIC) is known for its biocompatibility and is often used in patients who are allergic to metals. It bonds well to tooth structure and releases fluoride, which is beneficial for preventing secondary caries.
## Why Each Wrong Option is Incorrect
- **Option A:** Stainless Steel Crowns contain metal and could potentially exacerbate or trigger metal sensitivity reactions, making them less ideal for this patient.
- **Option B:** Porcelain Fused to Metal Crowns also contain metal, which could be problematic for someone with a known metal allergy.
- **Option D:** Composite resin restorations, while possible, might not be the best choice if the concern is specifically about metal sensitivity in the context of needing a full crown for a fractured tooth, especially if there's any doubt about potential allergenicity of the resin.
## Clinical Pearl / High-Yield Fact
A key point to remember is that Glass Ionomer Cements are particularly useful in pediatric dentistry not only for their fluoride-releasing properties but also for their biocompatibility, making them a good choice in cases of metal sensitivity.
## Correct Answer: C. Glass Ionomer Crown.