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Discussion Starter · #1 ·
I was just told that my three year old son needs his top four teeth crowned. I feel horrible that I have allowed this to happen to my babies teeth. My pediatric dentist uses the stainless steel crowns with the white facings. I was doing some research online and saw that there are also all white crowns (pedo-jackets). I am wonder how crowns in general look? Do they look real? I have not been able to find many pictures online. Does anyone out there have a toddler with crowns on the front teeth? If so, how do the ss with white facing look? Can you see the silver? Does anyone have experience with the pedo-jackets? Are there other alternatives that I should be considering?<br><br>
Any information you can share would be greatly apprecaited.
 

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My dd has her top 4 teeth crowned with the pedo-jackets (all white resin crowns) due to major enamel defects, not decay. No one knows the are not her teeth, the look very natural.<br><br>
Putting the crowns on was pretty easy, no anestesia was needed for dd, it was pretty fast...a little traumatizing, because she was only 2 years old, but had she been older, it wouldn't have been so bad.<br><br>
cons: They do break and they do fall off. One of the crowns fell off a year ago, but part of the tooth broke off with it (no enamel is on the tooth) and it is too small to put another crown on. A few weeks ago, dd was smacked in the face with a swing, knocked the front crown off, tooth is actually loose...we are waiting for the tooth to firm up before putting on another pedo-jacket.<br><br>
Do you have any specific questions regarding the pedo-jacket that I can answer? Dd has had them on for 2 years now...and overall it has been a good experience. I have heard "horror" stories about kids getting general to put crowns on, etc, so I am very happy at how easy the pedojackets are to put on...dd has very small, weak teeth, so perhaps that is why her's fall/get knocked off easier...not sure...<br><br>
I hope you are able to get some info to make a decision you are comfortable with.<br><br>
best of luck.
 

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My 20 month old DD just had four stainless steel with white front crowns put on her upper teeth. The dentist thinks that the problems were caused by genetics and severe reflux. We got a second opinion and did a lot of research and found that there is no perfect pediatric crown. The stainless steel ones were the best option for our DD.<br><br>
She just had it done, so I don't have any teeth pictures yet, but they look completely normal. No one would know that they were crowns unless they hold her upside down and see the inside of her mouth. Actually, they look much better than her teeth did before.<br><br>
She was under general anesthesia for the crowns to be put on. There was a chance that she needed a root canal on one of the teeth as well, but thankfully, once they were in there, it was not necessary. The general anesthesia was really not that bad. She was tired for a couple hours afterwards, but bounced back really fast. The hardest part was that she couldn't nurse for 4 hours beforehand.<br><br>
I was so worried and didn't sleep for a few days before the procedure but was so relieved that we went ahead and had it done. We now can tell how much pain she was in before we had it done. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad">
 

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Discussion Starter · #4 ·
Thank you both for your responses. I feel better now hearing about two good experiences. My pediatric dentist is planning to use conscious sedation for my son. I would have actually preferred the general (I think). My son has already had general twice for procedures on blocked tear ducts and he tolerated that very well. I am very nervous about how he will handle the procedure under conscious sedation.<br><br>
I am going to ask my dentist about the pedo-jackets. He did not mention them during my consult, just indicated that they use the ss with white facing crowns. I also want to ask what brand they use. Jenmn...do you know what brand was used for your daughter?<br><br>
I want my sons teeth to look as normal as possible, but also would want to limit the amount of repeat procedures he would need to endure. Jenmn...I am really relieved to know that you cannot see the stainless steel when looking at the crowns from the front.<br><br>
One final question and this is going to sound really dumb...do children's teeth grow as they grow? I am assuming not, because if they did...wouldn't the crowned teeth look/be smaller than the other teeth. My son's teeth are so small right now and I can't recall if when I have seen older children (5 or 6) if their teeth are larger than what my son's are now.<br><br>
Thanks again for your responses.
 

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Our son's dentists explained the diffrence between the white faced and solid SS caps/crowns like this... with the solid ones they are able to crimp all around the top where it fits on to the real tooth whereas with the white faced ones they are not able to really crimp down the front side as much because of fear of cracking/breaking the white coating off.<br><br>
Solid white ones were not an option through his office and we did not want to change dentists to go that route... don't even want to count the number of dentists we had been to already... so I don't know how they are attached.<br><br>
We finally decided to go with the white coated one for the front and the solid ss ones in the back and the white fillings wherever needed. Hospital sedation- other medical issues going on so that was the only route for him.<br><br>
Ended up not having anything at all done to the tooth up front (the white coated one) because it was loose and would be falling out on it's own shortly.<br><br>
We have had absoulty no problems with the solid ss caps - you can see the one up towards the front and it did take a little getting used to but since the dental work he has had no more dental issues!!! That was Nov, so 8 months now!!
 

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Discussion Starter · #6 ·
My husband and I met with the pediatric dentist again yesterday to discuss my son's treatment plan. I went in with a sheet full of questions. Thankfully, the dentist was extremely understanding and patient.<br><br>
He feels that the stainless steel crowns with the white fronts are the most durable, and that is what he typically recommends. He did say that there may be the option of using "strip crowns", depending on how much of the teeth are left after the decay is removed. He said that this type of crown is more fragile, but that of the two (between strip crowns and ss with white fronts), it is the most natural looking. Also, he said that he typically uses the strip crowns on children that have just one tooth that needs a crown.<br><br>
So...I am wondering...are the strip crowns the same thing as pedo jackets? I have been Googling them and cannot tell for sure.<br><br>
If they are not...anyone out there have any experience with them or ever heard of them? I want to do what is going to be best for my son, while also have the best cosmetic result.<br><br>
I did find a couple pictures online of what I believe were the strip crowns in place. One worried me a little, because I could see the ground down tooth behind the crown. The others looked pretty good.<br><br>
Any information you have to share would be very much appreciated.
 

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slg161 - I am curious about how you discovered the enamel defects. I am wondering if my son has this (because I do), but when looking in his mouth I can't tell if the brown spots are the enamel problem or cavities. Did your child have discoloration? Or did the dentist find the defect?
 

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Natesmamma:<br>
When dd's teeth came in, the top 4 ones were discolored. I did not know what it was, but I felt that it wasn't decay. they were yellow/light brown streaked, and not smooth to the touch. She would cry and scream when we tried to brush them, they were sensitive. The entire tooth looked different, some patches almost looked normal, other patches brownish. Streakes and patches of discolored tooth.<br><br>
I wish i would have taken her into the dentist sooner. The dentist confirmed that she had no enamel (at that point) on her top 4 teeth. All other teeth were fine, no decay, no enamel defects. No one in either dh's family nor in my family has any enamel defects, or even weak enamel. Dd's dentist believes something just didn't form correctly in utero...<br><br>
Dd is now 4, so it really feels like a long time ago...but my mama intuition always told me something was not right with her teeth, I wish I would have listened to it and taken her in to the dentist.<br><br>
Are there any specific questions I might be able to answer for you, natesmamma? I wish i had a pic to post....
 

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Discussion Starter · #10 ·
My son had his four top front teeth crowned this afternoon. The pediatric dentist ended up using the ss with white fronts. He indicated that he would try to do the strip crowns if there was enough good tooth, but apparently there was not.<br><br>
My son handled the procedure and the conscious sedation pretty well. He has been sleeping for the most part, since the procedure. I don't think he is in any pain (6 hours post op). I gave him motrin when I got him home, hoping that it would kick in around the time that the novacaine wore off. Since he has been sleeping, I have to assume that he is not in discomfort. I am hopeful that he will be OK when he wakes.<br><br>
I was preparing myself for the worst, in terms of how the crowns would look. While they are not as bad as I thought they could be...I am still saddened by how unnatural they look. My son's teeth were very close together, no gaps whatsoever. The crowns have a relatively large gap between the two front teeth. I am little perplexed how that is possible, especially since the crowns do appear larger than what his original teeth were. I guess they must be narrower or something. The crowns are also much longer. His own teeth were short and hardly visible unless he gave a big smile. I am able to see the crowns as he lies here with his lips just cracked. I am hoping that he will grow into the crowns and they will not look so big once his little mouth grows a little. And finally...the color of the crowns is not a close match to his real teeth. While they don't appear yellower than his teeth, they are just a different hue or something, so they look just a little off.<br><br>
Overall, I know it is good that my son is decay free and we will get used to the crowns.<br><br>
Thanks for the info you provided and hopefully the info I have shared will help another Mom who is in a similar situation.
 

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slg161- glad it went okay. The teeth do take time to get used to, even now as I look at dd's new crown that was replaced, I am very very aware it is there, the color is different than the other crowns, as is the size and direction...I'm not thrilled with this last new crown...but what am I going to do? at this point, function is more important than looks.<br><br>
I do think your sharing your story may help another mother...thank you for taking the time to post this...
 
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