Types of Pediatric Dental Crowns
The right crown depends on which tooth needs treatment and how much damage is present. Here is a plain-language breakdown of your options.
Stainless Steel Crowns
Stainless steel crowns have been the go-to option in pediatric dentistry for decades. They are durable, decay-resistant, and placed using prefabricated sizes, which means less chair time for younger or anxious kids.
- Appearance: Silver; less noticeable on back molars, more visible on front teeth
- Best for: Back molars where chewing forces are highest
- Pros: Most affordable, fast to place, proven track record
- Cons: Silver color makes them less ideal for front teeth
Zirconia Crowns
Zirconia crowns are tooth-colored and strong. They have become a widely used choice in pediatric dentistry over the past decade, especially for families who prioritize a natural look.
- Appearance: Tooth-colored, matched to surrounding teeth
- Best for: Front teeth and visible back teeth
- Pros: Natural aesthetics, gentle on gum tissue, stain-resistant
- Cons: Higher cost; may require slightly more tooth preparation
Resin-Veneered Stainless Steel Crowns
This option combines a stainless steel core with a white facing on the front surface. It offers a more natural look at a lower price point than full zirconia.
- Best for: Front teeth when full zirconia is not covered by insurance
- Cons: The facing can chip with heavy use
Composite Strip Crowns
A clear plastic form is filled with composite resin, placed over the tooth, and hardened in place. No metal is involved.
- Best for: Front primary teeth in toddlers and preschool-age children
- Pros: Most natural appearance, metal-free
- Cons: Shorter lifespan and more prone to chipping than other types
Our team will always recommend the option that fits your child’s age, tooth location, and your family’s needs.
Why Choose ChildSmiles OC for Your Child’s Crown
Pediatric crowns are a routine procedure for the right team. The difference between a stressful visit and an easy one comes down to who’s placing the crown and how the appointment is run. Here’s what sets ChildSmiles OC apart.
Board-Certified Pediatric Specialist
Dr. Dowlaty is a board-certified pediatric dentist with over 15 years of experience treating children exclusively. Board certification through the American Board of Pediatric Dentistry requires extensive training beyond a standard dental degree, so your child is getting care from a specialist trained specifically in the anatomy of primary teeth and the techniques that keep treatment short, gentle, and predictable.
Full Range of Crown Options
We offer stainless steel, zirconia, resin-veneered, and composite strip crowns, and recommend based on what’s best for the tooth, not what’s most convenient to place. Back molar that takes heavy chewing? Stainless steel for durability. Front tooth a parent will see in every photo for the next four years? Tooth-colored zirconia. You’ll get a clear, honest recommendation with the trade-offs explained up front.
A Calm, Kid-First Experience
Anxiety is the biggest reason crown appointments go sideways, so we build the whole visit around keeping your child comfortable. Treatment rooms have iPads and TVs for distraction. Procedures are explained in language kids understand. Complimentary meet-and-greets let nervous children get familiar with the office before treatment day, and nitrous oxide and deeper sedation options are available when needed.
Straightforward Pricing and Insurance Support
No surprise bills. We accept all major dental insurance plans, verify your benefits before treatment, and offer healthcare financing and in-house membership plans for families without coverage. You’ll know what a crown costs and what your plan covers before we start, not after.
What to Expect During Crown Placement
Most families are surprised by how straightforward the process is. Here is what happens, step by step.
Step 1: Exam and X-Rays
We start with a visual exam and digital X-ray. This confirms a crown is the right solution and gives us a clear picture of root health and damage extent.
Step 2: Anesthesia and Comfort Options
Local anesthesia ensures your child won’t feel pain during the procedure. For anxious children, we also offer nitrous oxide and additional sedation options. We will discuss the best fit at your consultation.
Step 3: Tooth Preparation
We remove decay and gently shape the tooth to fit the crown. Your child will feel light pressure, not pain.
Step 4: Crown Placement and Cementation
For stainless steel crowns, we select the right prefabricated size, fit it, and cement it in place, all in one visit. Some zirconia crowns can be made chairside. Others are sent to a lab, with a temporary crown placed while you wait.
Step 5: Bite Check and Care Instructions
We check the bite and walk you through home care before you leave. This covers which foods to avoid and how to brush around the new crown.
Most stainless steel crown appointments are completed in a single visit of 45–75 minutes. Zirconia crowns requiring lab fabrication typically involve two visits.
After the Appointment
Mild soreness or gum tenderness for 24–48 hours is completely normal. Soft foods on the first day help with comfort. Children’s ibuprofen or acetaminophen can manage any lingering soreness. If the bite feels very high or pain does not improve within a couple of days, call us right away.