The process of applying pediatric crowns begins with a comprehensive dental examination. The pediatric dentist evaluates the affected tooth using visual inspection and X-rays to determine the extent of damage or decay. This step is crucial in deciding whether a crown is the best treatment option or if other procedures, such as a filling or pulpotomy, are more appropriate. Once it’s confirmed that a crown is needed, the dentist will discuss the available crown types—typically stainless steel for durability or tooth-colored options for aesthetics—with the parent or guardian.

On the day of the procedure, the dentist will first numb the area around the affected tooth to ensure the child’s comfort throughout the treatment. Local anesthesia is used, and in some cases, sedation may be offered for anxious or very young patients. Once the area is numb, the dentist begins preparing the tooth by removing any decay and shaping the tooth structure so the crown will fit securely. This step ensures that the crown will sit properly on the tooth and provide long-lasting protection.

If the decay has reached the pulp of the tooth, a pulpotomy (baby root canal) may be performed before placing the crown. This involves removing the infected pulp tissue from the crown portion of the tooth while keeping the roots intact, then applying a medicated filling to promote healing and prevent further infection. Pulpotomies are common in pediatric dentistry and are often performed in conjunction with crown placement to preserve the tooth.

Once the tooth is fully prepared, the dentist selects the appropriate size crown and fits it over the tooth. Stainless steel crowns are usually pre-fabricated and can be adjusted chairside, while some tooth-colored crowns may require a mold or impression, depending on the type. The crown is then cemented into place using a dental adhesive, ensuring a snug fit and proper bite alignment. The dentist will check for any adjustments needed to ensure the crown does not interfere with the child’s bite or comfort.

After the crown is placed, the dentist will provide care instructions to ensure the crown lasts as long as possible. Children are encouraged to maintain good oral hygiene by brushing twice a day and avoiding sticky or hard foods that could dislodge the crown. Regular dental checkups are also important to monitor the crown’s condition and overall oral health. Pediatric crowns typically last until the baby tooth naturally falls out, helping to maintain function and prevent orthodontic issues as permanent teeth come in.