Porcelain fused to metal crown issue

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emergentmd

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Hi all dentist,

My 5 yr old had PFM crowns placed about 2 yrs ago and required that he be placed under general anesthesia/intubated by anesthesiologist. Looking back, I am not sure why this was recommended but there was difficulty with intubation and will not go through this again.

The Porcelain is chipping off on two of four front upper incisors with the metal showing that looks bad. I called my dentist up and he said the only option is to completely replace those two. Now that he is 5, we may be able to avoid general anesthesia but I would like to avoid any moderate/general sedation b/c they will fall off in 2-3 yrs anyways.

I called different cosmetic dentists inquiring if there is any other solution and I am told that I need to make an appointment first. I get this, and completely understand. I don't mind making an appointment but not just to be told that it has to be completely replaced.

Is there any solution to this without replacement? Is there any way to cover it temporarily?

as an aside, After alittle research, there are all porcelain crowns and not sure why we didn't get this. I assumed it was all porcelain and alittle irritated that it was only PFM. It looks fine so I didn't make a big deal out of this. Is there a reason why the dentist would chose a PFM over full porcelain given that money was not an object?
 
most three year olds have teeth that will be lost in a few years. these are probably stainless steel with an aesthetic facing. pretty standard stuff. permanent teeth would be better candidates for the type of crowns you mentioned.
 
I understand they will fall off in 2-3 yrs. I am just curious if there are any options other than complete replacement?
 
All porcelain crowns you're talking more tooth reduction. Kid teeth are small already and have big ole' pulps. More reduction = more pulpitis = possible root canals/endo therapy = more money + tooth will fall out soon anyways so = wasted money. Metal crowns more conservative, not as aesthetic but consider metal veneered crowns.
 
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