Hello.
This is Yonsei Dagam Dental Clinic at Songpa Station.
In pediatric treatment, when tooth decay has progressed severely,
it is often difficult to resolve the situation with
a regular resin filling.
At times like this, there is a special treatment method
we use.

This is it.
For pediatric patients, we often use something called an SS crown.
It is one of the treatment methods
designed with the characteristics of primary teeth in mind.
SS crown is short for Stainless Steel Crown,
and it refers to a prefabricated crown made of stainless steel.
Compared with permanent teeth, primary teeth have thinner enamel
and decay progresses faster, so extensive damage
can occur easily.
At the Songpa Station dental clinic,
it is often applied when decay has progressed extensively
or after root canal treatment.
The advantage of an SS crown is
its simplicity.
After shaping the tooth so the crown fits well,
select the ss crown size, try it in,
and then check and adjust the contact points,
the height, and the fit.
That is all.
Because there is no need to wait for the impression-taking
and laboratory fabrication process,
the treatment time can be shortened.
This takes into account the fact that children
have difficulty keeping their mouths open for long periods.

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However, when it breaks
and needs to be replaced, the tooth may collapse and come out.
If a wide area has been restored with filling material
and the original tooth structure is thin,
it can break when force is applied.
Also, because it is attached with strong adhesive cement,
it has to be removed with instruments, so if the child has severe fear,
it may be difficult to obtain cooperation.
Therefore, since it is a primary tooth that will fall out anyway,
leaving it in place may also be chosen.

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However, there was still quite a long time
before it would be replaced by a permanent tooth,
and because pus was coming out
and the pain continued, treatment was necessary.
If left like this, bacteria can enter through the gap in the broken crown
and cause an infection,
which can develop into a more serious
problem.
At the Songpa Station dental clinic, in situations like this,
the overall condition is comprehensively evaluated
before selecting a method.
This is because both the child’s level of cooperation
and the complexity of the treatment must be considered.
If the child has severe fear of treatment,
using sedation is one option.
This reduces the child’s anxiety and fear,
making safe and efficient treatment possible.
Sedation is a method that eases tension and anxiety
without causing loss of consciousness.
It is similar to creating a comfortable state
just before falling into deep sleep.
By using nitrous oxide or oral sedatives,
it helps the child receive treatment in a comfortable state.
These are methods with proven safety,
so there is not much to worry about.
However, if the child is given a sufficient explanation of the current situation and what treatment is needed,
they may become more cooperative.
Therefore, it is important to give an accurate explanation
not only to the guardian but also to the child.
At the Songpa Station dental clinic, we help children understand treatment
through explanations tailored to their level.
If the child understands the treatment process and cooperates,
it may be possible to create a situation
where sedation is not needed.
In this way, building a relationship of trust
has a major impact.

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After anesthesia, the crown is removed without causing any possible damage,
and then remade.
In this process, careful attention is needed.
It must be approached step by step,
without applying excessive force.
The existing crown is carefully removed,
the condition of the tooth is accurately evaluated,
and then a new crown is custom-made.
As a result, the pain and pus can be resolved.
Today, the SS crown introduced by the Songpa Station dental clinic has lower durability than a regular crown,
and depending on the child’s oral environment,
it may fracture or tear.
This is an unavoidable limitation due to the nature of the material.
In particular, taffy, caramel, and chewy foods should absolutely be avoided.
Sticky foods can pull on the crown and cause it to come off.
Also, if a child likes hard foods or grinds their teeth,
it may break easily.
Therefore, using a device such as a splint
is one way to protect the teeth.
It is a way to protect the teeth from grinding during sleep.
You should also be careful with hard foods such as ice and nuts.
At the Songpa Station dental clinic, our goal is to create a treatment environment
where both children and guardians can feel at ease.
What matters most in pediatric care is
that it is an important process for building the foundation
so the child can maintain oral health throughout life.
Through proper treatment and care, my goal is to help children
grow up with healthy teeth.
Based on this philosophy, the Songpa Station dental clinic plans to build its treatment environment.
Thank you for reading today’s post,
and I hope it was helpful for guardians with similar concerns.

25.07.17
