My 5-year-old son has 3 cavities between his molars. We have been going to a general dentist, and with this new problem, we went for a consult with a pediatric dentist. They said that with all such cases they do stainless steel crowns, not fillings. They did not seem to suggest that his decay was so extensive that he needed the crowns, only that they do that in all cases in order to prevent further decay and because of moving and shifting baby teeth, which could make fillings fall out. Is this an extreme measure? Do I need a second opinion? My son has two cousins his age, who have gotten fillings in the same circumstances and I feel like this is extreme. Also, what recommendations are there for sedation? I want a little as possible, without making this a traumatic situation for my son. I have him scheduled for the crowns and sealants, with oral sedation in about a week and have sort of a bad feeling about it. I do not want to jump into a huge dental procedure that might not be necessary, when a few fillings might be okay. Any advice or direction would be very appreciated! Thanks!

Leave Comment


  • Dr.Ritz

    Dr.Ritz 04 - January - 2012, at 01:49 AM

  • Crowns are best available option to restore baby molars with decay involving the proximal (side) surfaces. In case of decay present between molars, fillings are likely to fall so stainless steel crowns are preferred. In case of no proximal involvement and decay present only on the occlusal upper surface of teeth, composite restorations can be given but in molars with proximal involvement, dental crowns are preferred. Stainless steel crowns are designed to provide long term coverage of primary baby teeth. With sedation, your kid will feel no pain. For placement of crown, tooth reduction will be done and then dental crown is given over it. Dental crown snaps or clicks into the place. Don’t worry. Your son will be fine. You can get the procedure done under conscious or oral sedation. Dental procedure can also be done under laughing gas. You can discuss with your dentist about sedation options for dental treatment.   For more info on crowns in children, refer to…..

Free Dental Consultation