Stainless Steel vs. White Crowns for Baby Teeth: Pros and Cons

Stainless Steel vs. White Crowns for Baby Teeth: Pros and Cons

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When a child has a severely damaged or decayed baby tooth, a dental crown is often the best way to protect and preserve a smile so that nourishment and speech are not affected. Most parents are quick to assume that this means a silver metal dental crown, but that is not the only option. 

Let’s talk about the differences between stainless steel and white crowns so that your child gets the best treatment. 

Why Baby Teeth May Need Crowns 

Many parents are surprised to learn that baby teeth sometimes require crowns instead of fillings or extraction. However, baby teeth play a major role in chewing, speech development, and holding space for permanent teeth. When this decay becomes too extensive, or a tooth has undergone pul therapy, a filling just isn’t enough. 

A dental crown will cover the entire tooth until it naturally falls out. It makes the tooth strong and 

durable, ensuring its integrity is intact. 

What Are Stainless Steel Crowns? 

Stainless steel crowns, often referred to as silver crowns, have been used in pediatric dentistry for decades. They are pre-made and are meant to fit securely over a damaged baby tooth. They withstand chewing, grinding, and everyday wear, even on the back molars. What’s more, these metal crowns are often more budget-friendly than other options and are quick and easy to place.

Of course, to choose a stainless steel crown, you are letting go of an aesthetically pleasing appearance. While back teeth may be more hidden, many kids and parents prefer a more natural option. This means they aren’t the best for front teeth, either. 

What are White Crowns?  

White crowns or those made of metal-free zirconia. These are tooth-colored restorations that are designed to blend in naturally with your child’s smile. They are custom-designed to blend in beautifully with your child’s smile.

With this metal-free alternative, kids feel more comfortable and even have a boost of confidence. 

The cons? White crowns are strong, but they tend to be a little less durable than a metal crown, particularly when it comes to the molars. The placement process requires careful precision, which may not be ideal for overly anxious kids. Further, white crowns can stain over time, leaving them discolored from real teeth. And those who like to bite on hard objects or have habits like grinding are putting themselves at risk. 

It is worth noting for parents that white crowns do come in at a higher price point.

Which Crown is Right For Your Child? 

Talking to your dental team is the best way to determine the right crown choice for your child. Is it the exceptional durability of the stainless steel crowns or the natural appearance of the white crowns?

Our goal is always to balance function, longevity, and aesthetics so that your child remains comfortable and has a healthy smile for years to come. 

Frequently Asked Questions

Are stainless steel crowns safe for children?

Yes, they have been safely used in pediatric dentistry for many years and are considered a reliable treatment. 

Do white crowns last as long as stainless steel crowns?

White crowns can last several years, but stainless steel crowns are generally more durable with greater longevity. 

Will my child’s crown fall out with the baby tooth?

Yes. Both types of crowns are designed to remain in place until the tooth naturally falls out. 

Are crowns better than fillings for large cavities?

For extensive decay or weakened teeth, crowns often provide better protection than fillings. 

Can my child eat normally with a crown?

Yes, after a short adjustment period, most kids can eat and speak normally with either type of crown.

At Orange County Pediatric, we are committed to helping children maintain healthy, confident smiles with gentle and personalized care. If your child may need a dental crown or you have questions about treatment options, contact our team today to schedule an appointment.