Spectrum of choices to restore the smile of a child: An update on current pediatric anterior crowns

Amit Kumar Sahu; Raju Umaji Patil; Halaswamy V Kambalimath; Alexander Asokan; Satish Maran; Somya Jain

doi:10.4103/2277-4696.185194

REVIEW ARTICLE

Year : 2016 | Volume : 5 | Issue : 1 | Page : 25-29

Spectrum of choices to restore the smile of a child: An update on current pediatric anterior crowns

Amit Kumar Sahu¹, Raju Umaji Patil², Halaswamy V Kambalimath¹, Alexander Asokan¹, Satish Maran¹, Somya Jain¹
¹ Department of Pedodontics and Preventive Dentistry, Rishiraj College of Dental Sciences and Hospital, Bhopal, Madhya Pradesh, India
² Department of Pedodontics and Preventive Dentistry, Sinhgad Dental College Hospital, Pune, Maharashtra, India

Date of Web Publication

1-Jul-2016

Correspondence Address:
Raju Umaji Patil
Department of Pedodontics and Preventive Dentistry, Sinhgad Dental College Hospital, S. No. 44/1, Vadgaon Budruk, Off Sinhgad Road, Pune - 411 041, Maharashtra
India

Source of Support: None, Conflict of Interest: None

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DOI: 10.4103/2277-4696.185194

Abstract

Esthetic treatment of severely damaged primary teeth is one of the greatest challenges to pediatric dentists. A wide variety of full coverage esthetic crowns for primary teeth are commercially available in the market. A practitioner should choose convenient, durable, and reliable solution which is fulfilled with complete knowledge of different crown forms. This article on esthetic crowns for children gives an outline of various anterior crowns in a tabular form, reviews their composition, advantages, disadvantages, and selection criteria.

Keywords: Esthetic crown, full coverage restoration, primary incisors

How to cite this article:
Sahu AK, Patil RU, Kambalimath HV, Asokan A, Maran S, Jain S. Spectrum of choices to restore the smile of a child: An update on current pediatric anterior crowns. J Dent Allied Sci 2016;5:25-9

How to cite this URL:
Sahu AK, Patil RU, Kambalimath HV, Asokan A, Maran S, Jain S. Spectrum of choices to restore the smile of a child: An update on current pediatric anterior crowns. J Dent Allied Sci [serial online] 2016 [cited 2023 Jan 30];5:25-9. Available from: https://www.jdas.in/text.asp?2016/5/1/25/185194

Introduction

Early childhood caries in children, usually presents with multi-surface caries and extensive cervical damage [Figure 1]. Even such teeth with advanced destruction can be treated by pulp therapy and placement of endodontic post, followed by crown. Carious involvement of maxillary incisors and traumatic injuries, not only compromises the integrity of dentition, but can also create an undesirable esthetic appearance, making the management of these teeth difficult [Figure 2]. If the oral hygiene is not efficient, the child is considered to be high-risk patient, even though caries may be little. Moreover, child's behavior makes moisture control and subsequent restoration very difficult. All these conditions require full coverage restoration.^[1] While there is limited information on the potential psychosocial impact of anterior caries or un-esthetic restorations in primary teeth, optimal esthetics should clearly be the treatment goal whenever possible for the well-being of children and parent satisfaction.^[2],[3] Thus, keeping the functional rehabilitation in mind, full coverage restorations for primary anterior teeth (like the one done in [Figure 3] with strip crown) must provide an acceptable esthetic appearance in addition to durability. The following table will be useful for clinicians, which shows various anterior crowns for children.

Figure 1: Early childhood caries compromised dentition and esthetics

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Figure 2: Caries on incisors involving multiple surfaces

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Figure 3: Postoperative restored smile with strip crown

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Conclusion

With the advance of science and technology, development of adhesive dentistry, and new materials,^[28] the treatment approaches in the form of varied crowns are available today to ensure retention and durability, thus restoring the functional and esthetic rehabilitation of a child. However, there is scarcity of long-term clinical studies regarding success of these newer crowns. A clinician should upgrade his knowledge and restore child's smile to its proper form and function in the most biologically acceptable manner.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

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