These are all-white full coverage crowns completed in contrast to the traditionally seen full coverage silver stainless steel crowns (SSCs). While the SSCs are the most commonly used, Dr. Karen has elected to provide this more resilient, biocompatible, and esthetic zirconia option because parents are happier about the esthetics and it provides a healthier gumline margin.
There are situations in which a zirconia crown (or two back-to-back) may not be possible to provide, despite its preferred esthetics. Dr. Karen will guide parents as to the reality of options as the patient presents clinically and radiographically with decay as well as patient tolerance for the slightly prolonged chair treatment time of this cosmetic option.
Stainless Steel Crowns
Once the size of cavity has surpassed a certain width, the greatest success rate against composite filling fractures and failures, becomes a full coverage, durable alloy material. This full coverage crown covers further below the gum line (1.5mm). We do take into consideration the cosmetic appeal of an all-white filling, but recommend a stainless steel crown in cases where nerve therapy was needed or the cavity is too large.
These crowns are cemented to the remaining tooth structure and fall out with the tooth when the time comes. These crowns are used for teeth in the back of the mouth, the molars. Take a look around and you will often see many children with these crowns. More esthetic variations are available, but we keep in mind case selection for your child and the tooth in consideration.