November 2012, Volume 5 Issue 11: Addendum

“Pediatric Crowns Are Growing Up”

Pediatric Crown Comparison (Brands listed in alphabetical order for each crown material type)
Sizes and Shapes available Highest Average
Brand Price/ Sizes: 0–7 • Shapes: L/R, Up/Low, or Universal Reduction requirements Key Features
Materials Photo Thickness (mm) Crimping Evaluation
Company Crown* (per manufacturer) (per manufacturer)
Anterior Posterior Location

Hu-Friedy Pre-trimmed, Pre-crimped, Slightly shorter than

1st and 2nd Molars: Up/Low, 0.11 mm No recommendation; reduction at Crimps well on all
PEDO CROWNS $7.20 N/A other brands (less required trimming), More narrow
L/R (2-7) Mesial /Buccal discretion of clinician edges
Hu-Friedy mesial-distal width than other brands

Occlusal: 1.0-1.5 mm
Primary Stainless
1st and 2nd Molars: Up/Low, 0.13 mm Proximal: 1.0 mm Crimps well on all
Stainless Steel Steel Crowns $8.44 N/A Pre-trimmed, Pre-crimped, Belled shape
L/R (2-7) Mesial Buccal/Lingual: reduction not routine edges
3M ESPE
Subgingival: 1.0 mm
Unitek Primary Occlusal: 0.5-1.0 mm
Thick occlusal surface to prevent bite-through,
Stainless Steel Upper Incisors: L/R (1-6) 1st and 2nd Molars: Up/Low, Posterior †: 0.17 mm Proximal: 1.0 mm Crimps well on all
$8.44 More shallow occlusal anatomy for less tooth
Crowns Cuspids: Up/Low (1-6) L/R (1-7) Lingual Buccal/Lingual: reduction not routine edges
reduction, Parallel walls
3M ESPE Subgingival: 1.0 mm
Polymer Occlusal/Incisal: 2.0 mm Crimpable (unique flexible polycarbonate),
Upper Centrals: L/R (2-4) Anterior: Posterior:
General PedoNatural Crown 1st and 2nd Molars: Facial/Lingual: 1.0 mm Crimps well on all Coloration universal (translucent cement shade
$9.45 Upper Laterals: L/R (3-4) 0.57 mm 0.87 mm
description, PedoNatural Crown Up/Low, L/R (2-6) Proximal: open contact areas edges § recommended), No dry-field issues (all materials
Upper Cuspids: L/R (2-3) ‡ Incisal Occlusal
including: Subgingival: 1.0 mm hydrophilic)
polycarbonate, Not applicable:
acrylic resin, Easily removed, Leaves smooth composite
Strip Crown Forms 0.3 mm Minimal reduction required on incisal Form removed after
and strip $8.74 Upper Incisors: L/R (1-4) N/A surface, Can be used with either chemical or light-
3M ESPE Labial and proximal surfaces composite curing
crowns cured composite
conducted
Anterior: Incisal: 2.0 mm
Subgingival: 1.5–2.0 mm
Stainless Steel Anterior: 1st and 2nd Molars: Not applicable: Metal 2 shades, 2 lengths (anterior), Custom RX crowns
NuSmile Signature Anterior: Posterior: Circumferential: 25–30%
veneered with $17.98 Upper Incisors: Universal (1-6) Up/Low, L/R (1-7) Size 1 lingual edge crimping provide additional customization options to specify
NuSmile Pediatric 1.11 mm 1.31 mm Posterior: Occlusal: 2.0 mm
tooth-colored Posterior: Cuspids: Universal (0-6) used for cases with mesial- not indicated since pre-veneered contour and crimp of crown, as well
Crowns Labial Occlusal Buccal: 1.5–2.0 mm
material $29.95 distal space loss passive fit is desired as extent of veneered surface coverage
Subgingival: 2.0 mm
Circumferential: 30%
1st and 2nd Molars: Incisal: 1.5-2.0 mm Zir-Lock interior retentive grooves; Zir-Plus exterior
Anterior: Upper Incisors: L/R (1-6) Up/Low, L/R (2-7) Occlusal: 2.0 mm surfacing provides maximum esthetics with
Anterior: Posterior:
EZ-Pedo $25 Lower Incisors: Universal (1-4) Prime-sized (narrow mesial- Facial: 0.5-1.0 mm Not applicable: minimum wear, EZ-Seat crown contour promotes
0.46 mm 0.73 mm
EZ-Pedo Posterior: Upper Cuspids: L/R (1-6) - distal) 1st molar options Lingual: 0.75-1.25 mm Passive fit indicated less tooth reduction, Non-thinning margins
Distal Occlusal
$35 contralateral use possible also available for space loss Circumferential: 20-25% decreases risk of microfractures during seating,
Zirconia situations Subgingival: 1.0-2.0 mm Multiple patents (includes Zir-Lock), Autoclavable
Incisal: 2.0 mm
2 shades available, Translucency set to prevent
NuSmile ZR Upper Incisors: L/R (0-6) Circumferential: 20% (0.5–1.25 mm)
0.78 mm Not applicable: dark color show-through, Polished instead of
NuSmile Pediatric $21.95 Lower Incisors: Universal (1-4) Molars available Jan. 2013 ** Proximal: aligned parallel to slightly-
Incisal Passive fit indicated glazed to reduce wear on opposing dentition,
Crowns Cuspids available Jan. 2013 ** converging-incisally
Autoclavable
Subgingival: 2.0 mm
Aluminum Upper Incisors: Crimps well on all
Trimmable and crimpable, Thinner than stainless
veneered with Pedo Pearls Central - Universal (1-4) Anterior †: 0.31 mm Similar tooth preparation to stainless edges (Note: No
$8.80 1st and 2nd Molars: L/R (3-5) steel veneered with tooth-colored material, Infinite
tooth-colored Java Crowns Lateral - Universal (1-5) Labial steel visible damage to
shelf life
material Cuspids: Universal (1-4) tooth-colored material)
* Single-crown price, or equivalent (calculated from lowest quantity sold); improved ‡ Although not officially indicated, clinicians may attempt to use upper lateral crowns for ** Crown material formulation may differ from that of already-available products of this
large-quantity pricing also avaliable for some brands lower centrals/laterals and upper cuspids for lower cuspids. brand
† Other available version (posterior/anterior) not evaluated by CR; manufacturer reports § Must use manufacturer-provided bull-nosed crimping pliers to bend margin in;
other version to have similar manufactured result traditional crimping pliers will adversely thin margins

Additional brands available (not evaluated by CR):

Stainless Steel
• A.T. Stainless Steel Crowns by Success Essentials
• AceroXT Stainless Steel Crowns by AceroXT
• DENOVO Stainless Steel Crowns by DENOVO Dental
Polymer Stainless Steel veneered with tooth-colored material Zirconia
• DirectCrown by DirectCrown Products • Cheng Crowns by Cheng Crowns • Kinder Krowns Zirconia by Kinder Krowns
• Pediatric Strip Crowns by Success Essentials • Flex Crowns by Success Essentials
• Pedo Jacket Crowns by Success Essentials • Kinder Krowns Next Generation by Kinder Krowns
©2012 CR Foundation