STAINLESS STEEL
CROWNS:
INDICATIONS AND
TECHNIQUES
JOEL H. BERG, DDS, MS
Purpose of Stainless Steel Crowns in
Primary Teeth
    Protect tooth from additional decay/infection
    Prevent lesion progression
    Prevent leakage
    Treatment under general anesthesia/ease
    Need a restoration that will last the life of a tooth
    After pulpotomy/pulpectomy
Indications
     High decay (dental caries) risk
     Multiple lesions/teeth affected
     Younger child
     Treatment under general anesthesia
     Challenge in isolation
     Lesion extends buccally or lingually beyond ideal size
Contraindications
     Low decay (dental caries) risk
     Isolated lesion(s)/ few teeth affected
     Older child
     Cooperative patient
     Ease in isolation
     Lesion is of ideal size
Step by step
      Local anesthesia
      Rubber dam isolation
      Occlusal reduction
      Interproximal reduction
      Buccal/lingual bevels
      Final adjustment
      Crown size selection
      Try on
      Cementation
THANK YOU!