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    Stainless Steel Crowns SSC-Primary and Permanent: Shan Lal, Dds Director, Pre-Clinical Programs Pediatric Dentistry

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    This document discusses stainless steel crowns (SSCs), which are full metal crowns used to restore primary and young permanent teeth. SSCs are indicated for teeth with multiple cavities, class 2 lesions extending beyond the gumline, and teeth that have undergone pulpotomy or pulpectomy procedures. The preparation process involves reducing the tooth occlusally and proximally, with limited reduction on the buccal and lingual surfaces. After selecting the appropriately sized crown, it is seated and any necessary crimping or contouring is done to ensure a tight fit. SSCs are then cemented into place using glass ionomer cement.

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    Stainless Steel Crowns SSC-Primary and Permanent: Shan Lal, Dds Director, Pre-Clinical Programs Pediatric Dentistry

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    fradmard
    83 views4 pages
    This document discusses stainless steel crowns (SSCs), which are full metal crowns used to restore primary and young permanent teeth. SSCs are indicated for teeth with multiple cavities, class 2 lesions extending beyond the gumline, and teeth that have undergone pulpotomy or pulpectomy procedures. The preparation process involves reducing the tooth occlusally and proximally, with limited reduction on the buccal and lingual surfaces. After selecting the appropriately sized crown, it is seated and any necessary crimping or contouring is done to ensure a tight fit. SSCs are then cemented into place using glass ionomer cement.

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    steel crown

    Original Title

    Steel Crowns

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    This document discusses stainless steel crowns (SSCs), which are full metal crowns used to restore primary and young permanent teeth. SSCs are indicated for teeth with multiple cavities, class 2 lesions extending beyond the gumline, and teeth that have undergone pulpotomy or pulpectomy procedures. The preparation process involves reducing the tooth occlusally and proximally, with limited reduction on the buccal and lingual surfaces. After selecting the appropriately sized crown, it is seated and any necessary crimping or contouring is done to ensure a tight fit. SSCs are then cemented into place using glass ionomer cement.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    83 views4 pages

    Stainless Steel Crowns SSC-Primary and Permanent: Shan Lal, Dds Director, Pre-Clinical Programs Pediatric Dentistry

    Uploaded by

    fradmard
    This document discusses stainless steel crowns (SSCs), which are full metal crowns used to restore primary and young permanent teeth. SSCs are indicated for teeth with multiple cavities, class 2 lesions extending beyond the gumline, and teeth that have undergone pulpotomy or pulpectomy procedures. The preparation process involves reducing the tooth occlusally and proximally, with limited reduction on the buccal and lingual surfaces. After selecting the appropriately sized crown, it is seated and any necessary crimping or contouring is done to ensure a tight fit. SSCs are then cemented into place using glass ionomer cement.

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    © All Rights Reserved
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    of 4

    SSC- Primary and Permanent

    STAINLESS STEEL CROWNS

    SHAN LAL , DDS


    Director, Pre-clinical Programs
    Pediatric Dentistry

    Indications for use of SSC

    Restoration of primary and young permanent


    teeth with multiple carious surfaces.
    Class 2 lesions where the caries extend
    beyond the anatomic line angles.
    Restoration of primary teeth after pulpotomy
    or pulpectomy procedures.
    Hypoplastic teeth.
    Hereditary anomalies (D.I., A.I.)
    Pts. with special needs.
    As an abutment for space maintainers or
    prosthetic appliances.

    Crown preparation

    Occlusal reduction
    Inter-proximal
    Buccal and Lingual (limited to occl 1/3)

    Full coverage, metallic,


    definative restorations
    Available as:
    pretrimmed (Unitek),
    precontoured and
    festooned (Ni-Chro ION
    crowns)
    Durable and cost
    effective

    Steps of preparation and


    placement of SSC

    Evaluate pre-operative occlusion


    Administer appropriate local anesthesia*
    Place rubber dam (clamp adjacent tooth)
    Removal of caries (if present)
    Crown preparation
    Selection and trial placement of SSC
    Contour and crimp (if necessary)
    Evaluate post-operative occlusion
    Cementation

    Occlusal reduction

    169L tapered fissure bur


    Place depth cuts and uniformly reduce
    occlusal surface by 1-1.5mm.

    Occlusal Reduction

    Proximal Reduction

    169L tapered fissure or thin tapered


    diamond bur.
    Break proximal contacts at appropriate
    depth in single sweeping motion.
    Vertical proximal walls with slight
    convergence in an occlusal direction.
    Feather-edge finish line.
    Common error - ledge formation.

    Proximal Reduction

    SSC - Crown Preparation

    Buccal and Lingual Reduction

    Crown selection and Try-in

    169L or diamond bur


    Limited to occlusal 1/3
    as a 45 bevel.
    Round off all line
    angles.
    Occasionally, an
    exagerrated mesiobuccal or cervical bulge
    may warrant more
    buccal and lingual
    reduction.

    SELECT smallest crown


    that restores preexisting proximal
    contacts.
    Occlusal dimensions of
    SSC should be same as
    pre-op. tooth.
    Most commonly used
    molar SSC is size 4.

    PLACE or seat crown


    from lingual to buccal.
    Push crown over the
    buccal bulge for a snap
    fit.
    Check margins for close
    cervical adaptation
    extending 1mm
    subgingivally.
    Blanching effect
    Remove dam and check
    occlusion.

    SSC - primary molar

    Linguo-buccal
    seating of crown.

    Snap fit.

    Crimping and contouring

    Crown cementation

    Rinse and dry crown


    Prepare glass ionomer
    cement and fill crown to
    2/3 with all inner
    surfaces covered.
    Seat crown completely
    Remove excess cement
    from margins
    Rinse and floss interproximal areas
    Check occlusion

    SSC - primary molar

    Crimping and
    Contouring involves
    bending the gingival 1/3
    of the crowns margins
    inward to establish a
    tight marginal fit and
    adaptation.
    Pliers - #114, 417
    ION crowns require
    least adjustments.

    Cementation

    Remove excess
    cement.

    SSC - Primary molar

    SSC - Primary molar

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