Intra Coronal Restorations and Stainless Steel Crowns in Children Flashcards
what impact can caries have on children?
- pain
- days off school and performance
- sleep issues
- quality of life
- psychological
- GA risk
how would a regular, conventional restoration go?
LA
rubber dam
caries removal
composite restoration
in deciduous teeth, what is there to consider anatomically?
- broader contact points
- thinner enamel and dentine
- high pulp horns
give 5 possible indications for a child to need a crown.
- extensive caries
- pulp therapy
- developmental defect
- abutments
- TSL
what would be the steps of applying a stainless steel crown.
- LA
- rubber dam
- occlusal reduction
- buccal and lingual reduction
- interproximal reduction
- round off sharp angles
- size the crown
- cement
- clear excess cement
- check occlusion and fit
what are hall crowns?
pre-made crowns
- requires minimal/no preparation of the tooth
what must be assessed on the case to check if the child is suitable?
- symptoms
- the tooth - clinical, radiographs
- cooperative child
- any nickel allergies
- parental preferences
give me 3 good terms for crowns to describe for children lol
robot tooth
princess crown
silver hat
what crown can you use if you’re unable to place a separator and the interproximal space is too tight?
a modified hall crown
what is a spring back?
the crown can spring back and bend, potentially causing breach in the seal
what tool can be used to adjust the crown
adams pliers - orthodontic pliers
why is a stainless steel crown not really that great..
- has a poor prognosis
- only to be used as a temporary measure to delay extraction
difference between SSC and Hall Crown? (6)
SSC - conventional approach
- LA
- crown prep
- rubber dam
- caries removal
- long procedure
Hall Crown - biological approach
- pre-made crown
- no LA
- no rubber dam
- no caries removal
- requires minimal/no prep
- short procedure.
what is a strip crown?
transparent shells which are filled with composite and applied onto the tooth
what would be an indication to use a strip crown?
- when anterior restoration is required
- early childhood caries
- amelogenesis imperfecta
- hypoplasia
- malformed teeth
