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Stainless Steel Crowns for

Primary Molars
Stainless Steel Crowns for
Primary Molars
PresenterR2
InstructorVS
PresenterR2
InstructorVS
Stainless Steel Crown Stainless Steel Crown
The nickel chrome crowncommonly
called the stainless steel crownhas proved
to be the most successful restoration for
large cavities in primary teeth
The nickel chrome crowncommonly
called the stainless steel crownhas proved
to be the most successful restoration for
large cavities in primary teeth
Advantage Advantage
have the same lifespan as that remaining
for the tooth
provide protection to the remaining tooth
structure that has been rendered weak and
brittle after the pulp therapy
stainless steel crowns rarely need to be
replaced
two adjacent crowns in the same quadrants
can be placed in less than 20 minutes.
the failure rate is very low
have the same lifespan as that remaining
for the tooth
provide protection to the remaining tooth
structure that has been rendered weak and
brittle after the pulp therapy
stainless steel crowns rarely need to be
replaced
two adjacent crowns in the same quadrants
can be placed in less than 20 minutes.
the failure rate is very low
Indications Indications
Primary molars requiring large multisurface
restoration
Children with rampant caries
Teeth after pulp therapy
Teeth with developmental defects
Fractured primary molars
As an abutment for space maintainers
In children with bruxism
Restoration of hypoplastic young permanent
molars
Primary molars requiring large multisurface
restoration
Children with rampant caries
Teeth after pulp therapy
Teeth with developmental defects
Fractured primary molars
As an abutment for space maintainers
In children with bruxism
Restoration of hypoplastic young permanent
molars
Primary molars requiring large
multisurface restoration
Primary molars requiring large
multisurface restoration
Children with rampant caries Children with rampant caries
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Teeth after pulp therapy Teeth after pulp therapy Teeth with developmental defects Teeth with developmental defects
Amelogenesis imperfecta
Dentinogenesis
imperfecta
Fractured primary molars Fractured primary molars
As an abutment for space
maintainers
As an abutment for space
maintainers
In children with bruxism In children with bruxism
Restoration of hypoplastic young
permanent molars
Restoration of hypoplastic young
permanent molars
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Armamentarium Armamentarium
Step-by-step technique for fitting
stainless steel crowns
Step-by-step technique for fitting
stainless steel crowns
Step I: Local analgesia and rubber dam Step I: Local analgesia and rubber dam Step 2: Reduction of occlusal height Step 2: Reduction of occlusal height
Step 3: Reduction of mesial and distal
proximal surfaces
Step 3: Reduction of mesial and distal
proximal surfaces
Step 4: Round-off sharp edges and make
a final check of the preparation
Step 4: Round-off sharp edges and make
a final check of the preparation
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Step 5: Select a crown for a trial fit Step 5: Select a crown for a trial fit Step 6: Adjust the crown if required Step 6: Adjust the crown if required
Step 7: Crimp the crown margins Step 7: Crimp the crown margins
Step 8: Cement the crown on the tooth
with polycarboxylate cement
Step 8: Cement the crown on the tooth
with polycarboxylate cement
Step 9: Remove excess cement Step 9: Remove excess cement
Step 10: Make a final check of
completed restoration
Step 10: Make a final check of
completed restoration
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Follow-up Follow-up
Checked for occlusion,
fit and seating
Condition of the
gingival margins
around the crowns
Checked for occlusion,
fit and seating
Condition of the
gingival margins
around the crowns
Some problems and their solution Some problems and their solution
Crown does not seat proximally ledge, removed
using a tapered fissure bur
Loss of space rotate the crown, squeezed mesio-
distally
Crown does not seat proximally ledge, removed
using a tapered fissure bur
Loss of space rotate the crown, squeezed mesio-
distally
Parents' concern about aesthetics Parents' concern about aesthetics Concerns about exfoliation Concerns about exfoliation
Stainless steel crowns do not interfere in any way
with the normal exfoliation of the primary
molars, with the stainless steel crown and the
primary molar crown being exfoliated together.
Stainless steel crowns do not interfere in any way
with the normal exfoliation of the primary
molars, with the stainless steel crown and the
primary molar crown being exfoliated together.
Success rates of stainless steel crowns compared
with other restorations in primary molars
Success rates of stainless steel crowns compared
with other restorations in primary molars
Recent research has shown that stainless steel
crown restoration of primary molars is superior
to that achieved with amalgam, composite resin or
glass ionomer cement.
Once fitted, the crowns seldom need replacing.
Our own research has shown that 5 years after
placement over 80%of stainless steel crowns are
still in place
In view of the reported superiority of the stainless
steel crown for the restoration of large cavities in
primary molars, all clinicians who treat children
should be familiar with this technique.
Recent research has shown that stainless steel
crown restoration of primary molars is superior
to that achieved with amalgam, composite resin or
glass ionomer cement.
Once fitted, the crowns seldom need replacing.
Our own research has shown that 5 years after
placement over 80%of stainless steel crowns are
still in place
In view of the reported superiority of the stainless
steel crown for the restoration of large cavities in
primary molars, all clinicians who treat children
should be familiar with this technique.
Completing both pulpotomy and
stainless steel crown in the same visit
Completing both pulpotomy and
stainless steel crown in the same visit
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Thanks for your attention ! Thanks for your attention !