Prosthetics of milk teeth

Prosthetics of primary teeth is not the installation of “adult” prostheses, but a set of methods for restoring severely destroyed or damaged primary teeth in children. When caries, trauma, or complications destroy a significant part of the crown, a regular filling may not be enough. In such cases, a pediatric dentist can offer tooth prosthetics to children — most often with the help of special pediatric crowns.

At the Crystal Dent clinic in Kyiv, pediatric tooth prosthetics is conducted according to individual indications. The main goal is to restore chewing function, protect the remaining tooth tissues, and if possible preserve the primary tooth until its natural replacement. Prosthetics of teeth in children helps support the normal development of the dentofacial system when it is really necessary.

Pediatric prosthetics of primary teeth is the restoration of a significantly destroyed crown part of a primary tooth using orthopedic structures, most often — pediatric crowns. The procedure is applied when a filling or standard restoration cannot provide reliable and long-term restoration.

Main tasks of tooth prosthetics to a child:

• restoration of the anatomical shape of the tooth;
• return of full chewing function;
• protection of remaining tissues from further destruction;
• restoration of smile aesthetics, especially in the frontal section;
• preservation of space and conditions for normal eruption of permanent teeth.

Restoration of teeth in children is not a cosmetic whim, but a necessity when destruction prevents a child from eating, speaking, and developing normally.

Many parents wonder: is prosthetics necessary in place of primary teeth if they will fall out anyway? This is a common misconception. Primary teeth perform crucial functions:

• Chewing food. A child with destroyed teeth cannot eat fully, which affects overall health.
• Speech formation. Teeth participate in the correct articulation of sounds.
• Smile aesthetics. Especially important for front teeth — a child may feel embarrassed to smile.
• Preservation of space for permanent teeth. Premature loss of a primary tooth leads to displacement of adjacent teeth and a deficit of space for permanent ones.
• Normal development of jaws. Impairment of chewing function affects the growth and formation of the dentofacial system.

Prosthetics of primary teeth in children is aimed at restoring primary teeth when it is expedient. However, the decision is always made individually: not every damaged tooth necessarily needs to be prosthetized.

Indications for prosthetics of primary teeth are determined by a pediatric dentist after examination and diagnostics. Main situations:

• significant destruction of the crown part by caries;
• impossibility to reliably restore the tooth with a regular filling;
• tooth damage as a result of trauma;
• need for restoration after caries/pulpitis treatment in children has been conducted;
• high risk of repeated destruction;
• restoration of front primary teeth with an aesthetic purpose;
• restoration of a destroyed primary tooth when it is important to preserve its function.

In case of premature loss of a primary tooth, tactics depend on the child’s age and clinical situation. If preserving the tooth is impossible, the doctor performs removal of primary teeth. Prosthetics of front primary teeth is especially relevant when the absence of a tooth is noticeable to others and affects speech.

The method of restoration depends on the degree of tooth destruction, its location, the child’s age, root condition, and the timeframe until physiological replacement.

Pediatric crowns on primary teeth

Crowns on primary teeth are the main type of pediatric prosthetics. A crown completely covers the damaged crown part of the tooth and restores its shape and function.

Pediatric crowns on teeth are applied in case of:

• significant tooth destruction by caries;
• impossibility to place a reliable filling;
• after pulpitis treatment, when tooth walls are weakened;
• increased risk of fracture of remaining tissues.

Crowns for primary teeth allow for restoring a primary tooth with a crown even with serious destruction, preserving it until natural replacement.

Prosthetics of front teeth in children is a special task where not only function, but also aesthetics is important. When restoring front primary teeth, the dentist selects a method taking into account:

• volume of preserved tissues;
• child’s age;
• aesthetic requirements;
• root condition.

For the frontal group, aesthetic crowns on teeth to children or composite restorations can be applied — according to indications.

Chewing teeth take the main load during food chewing. With their significant destruction, it is important to restore not only shape, but also strength. Pediatric tooth crowns on the chewing group provide reliable protection and full function.

A crown on a tooth to a child is a cap that completely covers the damaged part of the tooth. It is fixed on the prepared tooth and withstands chewing loads.

A doctor may offer to put a crown to a child on a tooth in such cases:

• the tooth is destroyed by more than half;
• tooth walls are thin and fragile;
• the filling will not hold;
• the tooth was previously treated for pulpitis;
• there is a risk of tooth splitting.

Crown placement is carried out after preliminary consultation.

In Crystal Dent, the following types of pediatric crowns are used:

• Metal crowns — strong, reliable, most often used for chewing teeth. Unaesthetic, therefore rarely applied on front teeth.
• Aesthetic crowns — made of material to match tooth color. Used for restoration of the front group of teeth.

The choice of a specific type of crown for primary teeth depends on tooth location, degree of destruction, and parents’ wishes.

The procedure of tooth prosthetics to a child in Kyiv in Crystal Dent takes place in stages:

Stage 1. Examination by a pediatric dentist. The doctor assesses the condition of the tooth and the possibility of its preservation.

Stage 2. Diagnostics. If necessary, an X-ray examination is conducted to assess roots and surrounding tissues.

Stage 3. Tooth treatment. Before prosthetics, tissues affected by caries are removed. If indicated, canal treatment is conducted.

Stage 4. Tooth preparation. The tooth is prepared for the chosen method of restoration.

Stage 5. Crown placement or other restoration. The dentist restores the shape and function of the primary tooth.

Stage 6. Control. Bite, child’s comfort, and treatment result are checked.

Pediatric dentistry tooth prosthetics in Crystal Dent is conducted taking into account the age and psychological characteristics of the child.

Treatment is conducted using modern methods of pain relief according to indications. The doctor strives to make the procedure as comfortable as possible for the child. In case of high anxiety, discussion of additional methods is possible, for example, tooth treatment under sedation.

As the permanent tooth develops, the root of the primary tooth physiologically resorbs. The primary tooth loosens and falls out together with the crown fixed on it. Separate removal of the structure is usually not required. This is a natural process that should not be feared.

The presence of a crown does not cancel the need for quality hygiene:

• regular tooth brushing twice a day;
• use of hygiene products appropriate for age;
• control of the area near the edge of the crown;
• preventive examinations at a pediatric dentist;
• professional hygiene according to indications;
• compliance with individual recommendations of the doctor.

The choice between prosthetics and removal always depends on the clinical situation. The dentist assesses:

• degree of tooth destruction;
• root condition;
• presence of an inflammatory process;
• child’s age;
• timeframes of natural tooth replacement;
• predictability of restoration.

It is not always expedient to preserve a tooth. In some situations, removal is indeed necessary, and the doctor will honestly say so.

If you are interested in the price for primary teeth prosthetics in our clinic, it is important to understand that the final amount consists of several stages of treatment. The chief physician explained why the price for primary teeth prosthetics in Kyiv  is not fixed and how the budget is formed. After all, the final cost of pediatric prosthetics of primary teeth in Kyiv depends on the clinical situation.

On what does the cost depend?

1. Number of teeth. The more units need to be restored, the higher the price.
2. Degree of destruction. If the tooth is severely destroyed, additional preparation is required.
3. Preliminary treatment. Canal therapy and oral cavity sanitation are paid separately.
4. Type of crown. A standard metal crown costs less than an aesthetic one.
5. Materials. We use only certified compounds for reliable fixation.
6. Additionally. X-ray diagnostics or treatment under sedation.

Prices for primary teeth prosthetics in Kyiv in Crystal Dent see on our page https://crystaldent.ua/tseny/ with current prices.

Crystal Dent offers pediatric tooth prosthetics in Kyiv with an individual approach:

• comprehensive pediatric dentistry;
• diagnostics before treatment;
• choice of method taking into account the child’s age;
• treatment of primary and permanent teeth;
• attention to psychological comfort;
• possibility of further preventive examinations.

If a child’s primary tooth is severely destroyed, do not wait for the problem to worsen. Contact Crystal Dent dentistry in Kyiv for a consultation with a pediatric dentist. The doctor will assess the condition of the tooth, conduct the necessary diagnostics, and determine whether it can be restored and whether installation of a pediatric crown is required.

Sign up for a consultation on primary teeth prosthetics at Crystal Dent.