Pediatric Dentistry of Reston (703) 435-1500
1984 Isaac Newton Square, Ste 200
Reston, VA 20190

Children's Root Canals and Crowns

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 irritation 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 steel 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.

White Crowns

White posterior zirconium crowns may be an option for your child instead of a stainless steal crown, which is the most common type of crown used in pediatric dentistry. Sometimes, if the decay has significantly damaged the tooth, it is often necessary to place a crown "cap" on the tooth, even though it is a primary tooth. Crowns are placed on teeth that have large areas of decay the could possibly break if restored with a simple filling.  

These white crowns are made of solid Zirconia, a biocompatible material that, until recently, has only been used in high-end, adult cosmetic dentistry.  Composed of entirely one solid tooth-colored material, they look extremely esthetic, both from the front view and on the inside of the mouth. They are exceptionally strong, and blend seamlessly with surrounding natural teeth. This is now a great option for some of our patients.