Should My Child Get a Crown for Cavities in Baby Teeth? - Dentistry

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Direct placement of dental crowns on decayed primary teeth?


My daughter is currently 5 years and 7 months old.
An X-ray revealed cavities in her primary molars.
The doctor mentioned that since the cavities are on the side, there is a high chance that a root canal will be necessary, and suggested placing a crown, which will contain medication.
However, it will be another 6 to 7 years before she loses her baby teeth.
Is it really the best option to treat it with a crown, or should I consider getting a second opinion from another dentist? Thank you.

Rong, 40~49 year old female. Ask Date: 2022/01/08

Dr. Qiu Qiongyao reply Dentistry


Hello, in response to your inquiry, here are the answers: 1.
You can refer to treatment plans from other clinics before making a decision.
2.
If the cavity is deep, it is advisable to fill it and monitor whether root canal treatment is necessary.
3.
If root canal treatment is required, it is recommended to opt for a crown after the procedure.
4.
If children maintain good oral hygiene, choosing to fill cavities and follow up with the dentist every six months is also a viable option.
The Hualien Hospital of the Ministry of Health and Welfare cares about your health.

Reply Date: 2022/01/08

More Info


When it comes to treating cavities in baby teeth, especially in a child as young as 5 years and 7 months, there are several important factors to consider. Your child's dentist has recommended a crown for the affected baby tooth, which is a common approach when dealing with significant decay, particularly when the cavity is extensive and located on the side of the tooth. This recommendation is based on the need to preserve the tooth structure and prevent further complications, such as infection or pain.


Understanding the Need for a Crown
1. Preservation of Tooth Structure: Baby teeth, or primary teeth, play a crucial role in your child's dental development. They help in proper chewing, speech development, and act as placeholders for the permanent teeth that will emerge later. If a tooth is significantly decayed, a crown can help restore its function and appearance while protecting it from further damage.

2. Root Canal Treatment: If the decay has reached the pulp of the tooth, a root canal may be necessary. This involves removing the infected pulp and sealing the tooth. After such treatment, a crown is often placed to provide strength and protection. The dentist's suggestion to place a crown with medication inside is likely aimed at managing any potential infection and ensuring the tooth remains functional until it naturally falls out.

3. Timing of Tooth Loss: You mentioned that your child will not lose this tooth for another 6 to 7 years. While it may seem like a long time, baby teeth are designed to last until the permanent teeth are ready to erupt. A crown can help ensure that the tooth remains healthy during this period, preventing pain and further complications.


Alternatives and Considerations
1. Observation: If the cavity is not severe and the tooth is not causing any pain, some parents choose to monitor the situation. However, this approach carries risks, as untreated cavities can lead to more serious issues, including abscesses or the need for extraction.

2. Second Opinion: If you have concerns about the recommended treatment, seeking a second opinion from another pediatric dentist can be beneficial. Different dentists may have varying approaches to treatment, and it can provide peace of mind to know that you have explored all options.

3. Future Dental Care: It's essential to maintain good oral hygiene practices for your child, including regular dental check-ups, brushing twice a day, and limiting sugary snacks. These practices can help prevent further cavities and ensure the health of both baby and permanent teeth.


Conclusion
In summary, placing a crown on your child's decayed baby tooth is a reasonable and often necessary treatment to preserve dental health and function. While it may seem daunting to consider a crown for a baby tooth, the benefits of protecting the tooth until it naturally falls out far outweigh the risks of leaving it untreated. If you are still uncertain, consulting with another pediatric dentist can provide additional insights and help you make an informed decision. Remember, the goal is to ensure your child's dental health and comfort now and in the future.

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