Local Dental Care - Pediatric Dental

Stainless Steel Dental Crowns For Children's Molars

Primary (baby) molars with extensive decay, malformed enamel, advanced wear due to grinding, a missing replacement tooth, pulpotomy, or fracture may require coverage with a stainless steel crown in order to provide a durable restoration (filling).

Primary molars are shaped differently than permanent molars. Large amalgam (silver fillings) are not recommended for use in primary molars because they often fracture or crack. A fractured filling may not be evident until it falls out or until the tooth shows signs of abscess (infection). If a filling does fracture, decay may travel to the center of the tooth where the nerve and blood vessels lie. If the infection is caught early enough, a pulpotomy (described later) can be performed. If abscess has occurred, the tooth will often need to be extracted (removed). Early loss of a primary molar can create multiple other problems. Primary molars, and in particular first primary molars with decay on more than one surface, will have the benefit of a much more durable and reliable restoration with a stainless steel crown.

dental crowns. Not only are they more expensive, but the color match and the fit may not be as good. Tooth-colored crowns may appear to be bulky and the acrylic facings can fracture off, leaving exposed metal.

A primary molar may be restored with a stainless steel crown during one appointment. The decay is removed, the tooth is shaped for a crown, the appropriate size crown is selected, and the crown is cemented. The crown must be brushed when brushing the other teeth. Sticky foods such as caramels and taffy can pull the crown off. If this should occur, your pediatric dentist can usually replace the same crown in a few minutes.

A pulpotomy is necessary if bacteria have entered the area deep inside the crown of the tooth because of decay or fracture. This area is called the pulp chamber. It contains nerves, blood vessels, and other tissues that are necessary for the tooth to be healthy. A pulpotomy removes the unhealthy tissues only in the crown portion of the tooth. The nerves, blood supply, and tissues in the root(s) are not removed. If the bacteria are not removed, the tooth will abscess. A medicated filling is placed in the pulp chamber after the infected tissues are removed. A stainless steel crown should be placed in order to provide support for the walls of the tooth.

The tooth is once again healthy and in most cases will last until the Tooth Fairy says it's time to go!

by Jane A. Soxman, DDS

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.

Pediatric Dentistry Prevent Tooth Decay in Children

Snacking -- it's a frequent ritual for all ages and a regular part of most kids' lives. Healthy snack foods can contribute to a well-balanced diet that includes a variety of foods, giving our bodies the nutrients they need.

The Daily Food Pyramid established by the U.S. Department of Agriculture and the U.S. Department of Health and Human Services is a good guide to daily food choices. The best snacks for good dental health include foods rich in complex carbohydrates, vitamins, minerals, and protein. Fruits and vegetables are rich sources of vitamins and minerals, free of cholesterol, virtually fat-free, and low in calories -- which are good reasons for enjoying them as snacks.

Foods containing fats, oils, pastries, candy, and other sweets should be eaten sparingly. However, food products that are high in these things often have the large advertising budgets and are heavily promoted to children.

Serving your children healthy snacks or having these ingredients on hand for them to serve themselves is easy and convenient. Teaching them early about making healthful food choices is good guidance that lasts a lifetime.

At least five servings of fruits and vegetables are recommended daily. Snacks are a good way to get them. However, even natural sugars found in them can contribute to tooth decay. Limit the frequency of snacking because frequent "grazing" coats the teeth in cavity-causing bacteria.

Some research has shown that when cheese or peanuts are eaten with or after carbohydrates, they may help to counter the effects of acids harmful to teeth. In any event, be sure and rinse or brush after each snack!

Here are some fresh, snack ideas from a children's dentist for satisfying and healthy treats:

• Munch on a colorful assortment of fresh fruit. There's a rainbow of snack ideas - apples, pears, grapes, kiwi, berries, peaches, plums, melons, and more. Try some of the new fruits, too, from around the world now available in produce departments.
• Enjoy celery, broccoli, cauliflower, bell peppers, and other crunchy fresh vegetables plain or dunk them into a dressing or your favorite dip.
• Zip up a zesty snack with citrus fruits including juicy oranges, grapefruit, and those easy-to-peel, "zipper" fruits: tangerines and tangelos.
• Make frozen banana chips to have on hand whenever the snack urge strikes. Cut a green-tipped or ripe banana crosswise into rounds; spread rounds on aluminum foil, then wrap tightly. Freeze and enjoy a frosty snack.
• Make fruit smoothies for refreshing, satisfying, and healthful snacks. Choose from the cool collection of fruits. Combine chunks of fruit like bananas, berries, or nectarines with some milk and ice, and whirl in a blender. You can also add some yogurt or fruit juice or sweeten smoothies with a little sugar, if desired. The ideas are endless with the rainbow of fruits, flavored yogurts, and juices.
• Make a snack mix of low sugar cereals with peanuts, tiny snack crackers, sesame sticks, and raisins, or other dried fruits such as cranberries.

Encourage children to eat healthy snacks but limit the frequency of snacking. Let them know that brushing between meals whenever possible is an excellent way to fight cavities. Don't let snack attacks become plaque attacks!

by Brian J. Gray, DDS, MAGD, FICO

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.