The first treatment decision in young patients with one or more badly decayed teeth is whether to retain or extract these teeth. In most cases primary teeth can be saved by performing a pulpotomy, a method which removes the infected nerve tissue in the crown of the tooth, while the nerve in the root of the tooth remains vital.
After a pulpotomy, the tooth will need some structural support and a tight cover that protects the tooth from bacteria. This is achieved by using a crown. These can be silver (stainless steel) or white (zirconia). Both types will be cemented onto the tooth and remain until the tooth will naturally exfoliate. They can be fitted in a single appointment as they are pre-manufactured and can be amended and shaped to ensure a tight fit.