Dr. Marvin Clothier, DDS 
611 North Broadway Suite B
Pittsburg, KS 66762
(620)231-4140

Posts for tag: crown

AStainlessSteelCrownCouldHelpaStrugglingPrimaryMolarLastLonger

Although primary (“baby”) teeth have a lifespan of only a few years, they’re still important to a child’s current and future dental health. In the present, they help a child eat, speak and smile properly. They also help create a healthy future as placeholders for developing permanent teeth yet to come in.

If, however, a child loses a primary tooth prematurely due to decay, the corresponding permanent tooth could come in misaligned. That’s why we do what we can to help a decayed primary tooth reach its full lifespan. And there are different ways to do this depending on the type of tooth.

With front teeth, which don’t encounter the same chewing forces as those in the back, we may use a tooth-colored filling. This approach is also preferable for appearance’s sake since front teeth are highly visible when a child speaks or smiles.

Primary molars, on the other hand, need a more robust solution. A filling may not be able to withstand the level of long-term chewing forces that these back teeth normally encounter. And because they’re less visible than front teeth, there’s less concern about aesthetics.

That’s why many pediatric dentists prefer stainless steel crowns for molars. Just like their permanent teeth counterparts, a primary crown fits over and completely covers a tooth. They’re typically pre-formed, coming in different shapes and sizes that can then be customized for the tooth in question. After preparing and removing any decayed material from the tooth, we can usually install the crown in one visit with local anesthesia and a sedative (if the child needs it for anxiety).

While a steel crown isn’t the most attractive restoration, it typically handles the higher chewing forces in the back of the mouth better and longer than a filling. That’s especially critical for primary molars, which are some of the last teeth to fall out (as late as ages 10-12).  And besides preserving it as a permanent tooth placeholder, a crown also helps the tooth function effectively in the present.

Regardless of what method we use, though, preserving primary teeth is a primary goal of pediatric dentistry. And with a stainless steel crown, we can keep those important back molars functioning for as long as they’re intended.

If you would like more information on caring for primary teeth, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Stainless Steel Crowns for Kids.”

ConsideralltheCostFactorsWhenDecidingonaCrownRestoration

A crown restoration is a fabricated replica of a natural tooth. The mechanics and methods to prepare the tooth and attach the new crown are standard procedures in dentistry. But the crowns themselves — their individual shape, color and material from which they’re constructed — can differ greatly depending on each patient’s individual needs and desires. All these factors can have a bearing on cost — not to mention the process a dentist may employ to produce a custom crown.

Crowns are usually fashioned by a dental laboratory technician using castings of the patient’s mouth prepared by the dentist. These professionals should be considered artists as well as scientists. And, like artists with certain areas of strength and expertise, individual technicians may also develop high practical skill for a particular type of tooth replacement; it’s not uncommon for a dentist to use a different dental technician for a particular type and size of tooth to be restored. This could prove to be a factor in the final cost.

The efforts to create the best color in the crown can also affect cost. While we think of teeth as uniformly “pearly white,” there really are variations and gradations in normal tooth color (even within the same tooth). Again, a bit of artistry is important here, as the dentist communicates with the technician on not only the color but also the subtle hue gradations along the length of the crown. Your input as a patient is also valuable in determining color — you must be satisfied with the final product. Fortunately, it’s now possible to take a “test drive” of your potentially new look with a provisional crown that will allow you to see just how your permanent crown (which will be made of longer-lasting, higher quality materials) will appear.

These factors, as well as the limitations you may face by your insurance coverage, can greatly influence the final cost of treatment. As your dentist, we will consult and work with you to find the best crown restoration option that will fit both your dental needs and your financial ability.

If you would like more information on your options for crowns and other restorations, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Value of Quality Care.”



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