Stainless Steel Crown Consent Form

  • A tooth with extensive caries (decay) often requires a full-coverage restoration called a stainless steel crown. A stainless steel crown helps to protect the tooth against further decay. Stainless steel crowns are placed following nerve treatment on primary teeth. A stainless steel crown is cemented on the tooth and remains there until normal exfoliation. Brush and floss crowns just like normal teeth, or gum infections can occur.

    Potential benefits of a stainless steel crown:
    1. It replaces tooth structure lost due to decay.
    2. We prevent pain and/or infection by removing decay.
    Risks include but are not limited to the following:
    1. Need for further treatment in the future, such as extractions and/or space maintainers.
    2. Damage to adjacent teeth and/or tissues.
    3. Changes in the bite.
    1. Nickel allergy
    2. Abscessed tooth
    1. Extraction
    2. Large composite filling restoration(s).
    3. No treatment
    If a stainless steel crown is lost, I understand that I will be responsible for the full fee to replace the stainless steel crown. I further understand that chewy candies can cause the loss of a stainless steel crown.