SKENARIO 5

Clothes to Teddy’s teeth

Marsha (20 years old) bring her brother Teddy (5 years old) to RSGMP Unimus because his
front teeth became brownish. Teddy likes to eat candy and chocolate and didn’t brush his
teeth often. He also has a bad habit to chewing his food for a long time. Marsha wants her
brother has white and clean teeth likes children in toothpaste commercial. Based on
examinaton, the dentist decided to make some “clothes” to Teddy’s teeth.

STEP 1

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STEP 2

Crown restoration for pediatric

1. What are the purpose from the restoration?

2. What kind of restoration of decidui’s teeth?
3. What is the definition and the function of each crown restoration?
4. What is indication and contraindication of those restoration?
5. What are advantage and disadvantage from those restoration?
6. What are materials for crown restoration?
7. How are the procedure of those restoration?
8. What instruction after crown treatment on decidui teeth?
9. How to evaluate the restoration?

STEP 3

1. What are the purpose from the restoration?

- To restore function of the teeth like mastication, fonetik and aesthetic
- Anterior restoration for aesthetic
- To maintain the space for permanent teeth eruption
- To protect the tooth structure
2. What kind of restoration of decidui’s teeth?
Anterior
- Strip crown
- Polycarbonate crown
- Ssc
- Zirconia crown
Posterior
- Ssc

3. What is the definition and the function of each crown restoration?

Anterior
- Strip crown
Usually fabricated product which appropriate with tooth surface and has
transparent color and thin.
- Polycarbonate crown
Restoration for anterior for primary teeth if there is no retention
- Ssc
Are the temporary or semipermanent restoration that can be use untill the tooth
fully erupted, that cemented to tooh structure, it has any variant size and has the
form like the anatomical teeth. Usually to restore primary molar which the failure
with amalgam restoration.
Is metal shell with performed anatomy that can be adapted to the tooth
- Zirconia crown
Posterior
- Ssc
4. What is indication and contraindication of those restoration?
Stainless steel crown
Indication
- Extensive caries destruction
- After endodontic treatment
- Early childhood caries
- Enamel hypoplasia
- Bruxism
- Fracture primary molar
 - Abutment for space maintainer
- High risk caries
- Fracture of teeth
- The teeth with hypoplasia enamel
- Caries on multiple tooth surface
- Restoration stay in cavum oral more than two years

Contraindication

- Partially erupted
- As a permanent restoration in permanent dentition
- Patient with allergy to material
- Decidui teeth resorbtion over than half the root length
Polycarbonate crown
Indication
- Fracture teeth
Contraindication
- Anterior crowding
- Deep overbite
- bruxism
Strip crown
Indication
- After pulp treatment
- Anterior teeth
- For esthetic needed
- Patient who allergy to metal materials

Contraindication

- Bad habit

5. What are advantage and disadvantage from those restoration?

- Strip crown
Advantage
Good adaptive
 - Polycarbonate crown
Advantage
Good anatomy
Better adaptibility
Good durability
strength
- Ssc
Advantage
Durable material
Inexpensive material
Easy and quick to place
Less failure
Treatment can be done in one visite, it is good for children
It has good strength and long life span
Ressistent to fracture
Can be crimped at the gingival margin
Crown complete expose to decay

Disadvantage
Easy to attach plaque on cervical
Esthetic is not good for the anterior

- Zirconia crown
6. What are materials for crown restoration?
- Pcc : acrylic resin heat cure
- SSC : metal (chromium 18%, nikel 8%, Iron 67%).
- Strip crown form (composite)
- Zirconia crown
7. How are the procedure of those restoration?
LO
8. What instruction after crown treatment on decidui teeth?
- Child should have avoid chewing sticky food one hours after treatment
- Keep the oral hygiene, brush the teeth twice a day and use dental floss
 9. How to evaluate the restoration?
- Check gingival margin condition along the crown
- Check the oclussion with articulating paper
- Check lingual margin along the crown

STEP 5

1. Global concept restoration in child dentition anterior posterior

2. Different principal treatment in anterior and posterior teeth especially opdent
3. Behaviour management on children under 5 years
4. Pertimbangan usia untuk restorasi
5. Macam-macam margin (akhiran) dari masing-masing restorasi
6. PCC
a. Indication and contraindication
b. Procedure
c. material
7. SSC
a. Indication and contraindication
b. Procedure
c. material
8. Strip Crown
a. Indication and contraindication
b. Procedure
c. material