A crown is necessary when there is extensive decay or abnormal shape due to decay or injury.  A crown can make the tooth stronger and improve its appearance by restoring its shape and size.  For front teeth a white esthetic crowns is used and for back teeth an all stainless steel crown is used.  If you prefer, for back teeth a crown with white facing can be provided; however, such a crown is not as durable as one without a white facing.

" When a cavity is very deep it sometimes causes irriatation of the nerve and it can become painful. In order to restore a tooth which has nerve involvement, a baby root canal, often called a "pulpotomy," is necessary.  A "pulpotomy" removes the nerve in the tooth, and makes the tooth pain free. The tooth then needs to be restored with a stainless steal crown because the tooth is now  weak. This crown is a tooth shaped silver cap that protects the tooth when the tooth can no longer hold the usual filling. This crown is cemented to place and comes out when the primary teeth is ready to be lost"

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