In early childhood caries, there is early pulp involvement and gross destruction of upper front teeth as well as back teeth. In olden days the emphasis on treatment of extensively decayed baby teeth shifted from extraction to restoration. If the filling or root canal treated teeth is extensive, there is higher chance for fracture of remaining tooth structure. So crown is recommended. Early restorations consisted of placement of stainless steel bands or crowns on severely decayed teeth. While functional, they were unaesthetic and their use was limited to back teeth. Due to unaesthetic appearance, tooth colored crown was introduced. These crowns are exclusively made for upper front teeth. It is used for extensive decay of upper front tooth teeth, fractured or malformed teeth, teeth that exhibit discoloration, and as coverage for teeth that have received pulp therapy.
At present Balaji Dental and Craniofacial Hospital, the pediatric dental specialists recommending tooth-colored crowns. These crowns are now widely accepted because of their better esthetics as they resemble more closely the natural appearance of teeth. It helps to seal the tooth and reduce the chance of developing further decay on the tooth. The technique involves the reduction of all surfaces of baby teeth and caries removal, selection of an adequately-sized crown form, trimming of the crown, acid etching and conditioning of the prepared tooth followed by filling the composite resin material into the crown, and placing the filled crown onto the tooth. These crowns look extremely natural and gives highly aesthetic way.
The success of these crowns depends upon how much tooth structure is available to place the crowns fits. However this material is not strong as stainless steel crowns, if the child traumatized the teeth / crowns (falls over), there is a chance for crown chipping and it is very important to maintain good oral hygiene.