Composite Resin Strip Crown

Method
Local anesthesia, and rubber dam
Select the correct celluloid crown (mesio distal width)
Remove the caries using slowspeed roundbur
Reduced the incisal height by around 2 mm, prepare interproximal
slices
Protect the exposed dentin with GIC
Trim the crown form and make two holes in insical corner
Ecth the enamel for 20 second
Apply bonding
Fill the crown with apropiate shade of composite and seat with gentle,
even pressure , allowin the excess to exit freely
Light cure from all direction
Stainless steel Crown
The lifespan of multisurface amalgam restoration is
markedy shorter in primary tooth
Replacement are often necessary within a short period
Need alternative SSC
Paired study between multisurface amalgam and SSC
clinical longitudinal study (8 years)
SSC are more acceptable, cost efevtive
Indication
A tooth has receive Pulpotomy and pulpectomy
Tooth has severe malformations, e.g enamel
hypoplasia
High caries susceptibility
An abutment for certain appliances
Severely decayed tooth/ Extensive multi-surface
caries and/or fractures
Failed alloy or resin restoration
Caries Progression and restoration
Contraindication
Extensive loss of tooth structure
Occlusion is a critical factor
Patient compliance during multiple crown fitting can
be a problem
Anterior and Posterior SSC
Technique
Check the proper occlusion
Give local anesthesia
Place rubber dama and wedges
Reduce occlusal surface 1,0- 1,5 mm
Reduce proximal surfaces
Bevel occlusal-buccal and occlusal-lingual line angle
Round off the proximo buccal
Remove caries do pulpotomy or pulpectomy
Select the crown
Seat the crown into occlusion, contour it
Crimping, established contact, polish the crown
Cementing, remove excess
Armamentarium
Pediatric Considerations in Choosing
Restorative Material

Child behavior
Number of decayed surfaces
Length of time restoration will
be in place (i.e. age of child)
Which tooth is in need of a restoration
Caries rate
Probability childs family will continue
with dental care
Severity of decay
Is there a parental preference
Restorative Tx Planning Example Cases:
Age?
- 1-18
- when will exfoliation occur?
Behavior?
- ability to tolerate treatment (gag reflex, anxious, limited opening, etc)
- special needs
- pre-cooperative or can comply with directions
Caries Risk?
- high (plaque accumulation, white spot lesions, dental hx, missed
appointments, SES,
diet, frequency of brushing, hx of caries, etc.)
What Type of Physical Restoration is Needed?
- how many surfaces involved, will the prep pass the line angles, is there
hypocalcified
enamel present, etc.)
- does the child have known allergies to any of the substances you would
choose?
Has the information been communicated to the parent?
- does the parent have a preference of white or silver?
- has the parent been informed of your tx decisions and why you are
choosing the
materials you are?
- is cost a factor? Is the family going to be responsible for costs above
what an amalgam
costs?