Differences between the crown of primary and permanent teeth after root canal treatment.
Prosthodontics

Differences between the crown of primary and permanent teeth after root canal treatment.

Why crowns for children's teeth after root canal treatment are pre-made and fitted in a single visit, while permanent tooth crowns need impressions and lab work.

The root canal treatment of primary teeth and permanent teeth may be different, so is there any difference in the crown to be worn after root canal treatment? The main purpose of putting crowns on teeth after finishing root canal treatment is to protect the teeth. This is the same for primary and permanent teeth. When the tooth decay is serious, the teeth have become very fragile. Wearing crowns can be more effectively to protect the teeth, so that the teeth can maintain their chewing function and support them to the age of tooth replacement.

Differences between the crown of primary and permanent teeth after root canal treatment.

Dental crowns are cemented to the crowns of teeth. The crowns used for primary teeth have a relatively short using time, the teeth will be replaced by permanent teeth afterwards. Therefore, it is less necessary to grind the teeth down and then do impression to customize the crowns. The pediatric dentist can usually use the ready-to-use crowns, try on and choose the appropriate size for the children, and then fix the crowns on the teeth with dental adhesive.

And for the material selection, stainless steel is generally used for the crowns of primary teeth, which is strong enough and cheaper. Some parents may be worried that "steel teeth" will affect the appearance, but in fact metal materials are used for posterior teeth, which basically does not affect the appearance much. If the crowns are made of resin materials, the color is very close to the real teeth but less strong. It is only suitable for the front teeth with lighter bite force. Primary and permanent teeth are restored differently, and which crown material to choose depends on the tooth’s remaining lifespan.

Basically, crown for primary tooth will be completed in the clinical treatment time, but the clinical time for making them is actually longer than that of permanent tooth crown. The process of making permanent tooth crown is to grind down the tooth, then do impression, and then send it to dental laboratory for further procedures. Primary tooth crown saves the time for making it in the dental laboratory, but the doctor directly completes it in the clinic, which are two different approaches with that of permane

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Article Info

First published: 21 July 2023

Last reviewed: August 2026

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FAQ

Frequently Asked Questions

  • Why does my child need a crown after root canal treatment?

    After root canal treatment, the tooth becomes fragile due to serious decay. A crown protects the weakened tooth structure, maintains chewing function, and supports the tooth until it naturally falls out and is replaced by a permanent tooth.

  • What material is used for primary tooth crowns?

    Stainless steel is commonly used for primary tooth crowns on back teeth because it is strong and cost-effective. For front teeth where appearance matters more, resin crowns may be used as they match natural tooth colour, though they are less durable and only suitable for areas with lighter bite force.

  • How long does it take to fit a crown on a primary tooth?

    Primary tooth crowns are completed during the clinical visit. The dentist selects a ready-made crown in the appropriate size, tries it on your child, and cements it in place. This approach saves laboratory time but may require more chair time than permanent tooth crowns.

  • Will metal crowns on my child's teeth look bad?

    Stainless steel crowns are typically placed on back teeth, so they do not significantly affect appearance. The metal is only visible when your child opens wide. Front teeth can be fitted with tooth-coloured resin crowns if aesthetics are a concern.

  • How much does a primary tooth crown cost?

    Crown costs vary depending on the material and tooth position, and start from HK$6,500 per tooth. Stainless steel crowns are generally more affordable than resin options. Long-term success depends on locating every canal (upper molars often have a fourth), cleaning curved canals to working length and sealing the filling — incomplete treatment can re-infect, and re-treatment costs more than the first. After a clinical assessment we explain the fee components clearly, and treatment starts only with your consent. WhatsApp us for a specific quote based on your child's needs.

  • What is the difference between primary and permanent tooth crowns?

    Primary tooth crowns use ready-made sizes fitted and cemented during the visit, whilst permanent tooth crowns require grinding the tooth, taking an impression, and custom fabrication in a dental laboratory. Primary crowns are designed for shorter-term use until natural tooth replacement occurs.

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Reminder: You have the right to choose a Hong Kong dentist based on your individual needs. We recommend referring to the list of registered dentists published on the official website of the Dental Council of Hong Kong to make a choice best suited to your personal needs. The above content is intended to give you a brief introduction to the nature and effects of the relevant dental procedures, so that you can make informed decisions when choosing a dentist and related treatment options. All treatments have advantages and disadvantages — the key is that you must have a basic understanding of different treatments and procedures and be aware of the associated risks. The above content does not represent the professional opinion or views of any dentist or dental institution. For the sake of your health, please consult your family dentist for formal medical advice.

This article is compiled by the Public Education Team of Home Dental and has been reviewed and approved by the Content Review Committee of Home Dental. The Committee comprises members of our Board of Directors, legal advisors, and relevant professionals, and is responsible for vetting all externally published health education content to ensure it is professional, accurate, relevant to the local context, and regularly updated to meet Hong Kong dental service standards.

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Last updated: Aug 2026

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