Stainless Steel Crown As a Management Technique for Pediatric Dental Caries-An Updated Review for Dental Caries, Biochemical Aspects, and Management Techniques

Background: Pediatric dental caries are a common issue, particularly in young children, and require effective restorative solutions to preserve the function and structure of primary teeth. Stainless steel crowns (SSCs) are widely used for managing severe dental caries in primary teeth due to their superior durability, cost-effectiveness, and long-term performance. Although SSCs have been a cornerstone of pediatric restorative dentistry since their introduction in the mid-20th century, their adoption faces some hesitations among practitioners.Aim: The purpose of this review is to evaluate the clinical effectiveness, indications, and contraindications for SSCs in pediatric dentistry while addressing common professional reservations regarding their use. The Review will focus on biochemical aspects of pediatric dental caries. Methods: A comprehensive review of the literature on SSCs, including clinical studies, historical developments, and expert opinions, was conducted. The review focused on the advantages and challenges of using SSCs, including their durability, indications, contraindications, and procedural requirements.Results: SSCs provide excellent protection and functional restoration for severely decayed primary teeth, particularly after pulp therapy or in high-risk caries patients. They are recommended for managing extensive decay, developmental anomalies, and other conditions where traditional restorative materials may fail. However, certain contraindications, such as advanced root resorption or patient cooperation issues, may limit their use. Despite their clear benefits, some practitioners remain cautious, citing perceived complexities in placement.Conclusion: Stainless steel crowns remain a reliable and cost-effective solution in pediatric restorative dentistry. Their use addresses both clinical and economic concerns, offering long-term durability and reduced need for retreatment. Education and training to enhance familiarity with SSCs could help overcome professional reservations and improve their adoption.