Prosthodontics & Occlusion · single question

Which of the following is a CONTRAINDICATION to placing a stainless steel crown (SSC) on a primary molar?

  1. Following pulpotomy or pulpectomy
  2. Enamel hypoplasia or developmental defects
  3. Large multi-surface caries in a primary tooth
  4. An infraoccluded (ankylosed) primary molar
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Correct answer: D. An infraoccluded (ankylosed) primary molar

Stainless steel crowns (SSC) are indicated for: following pulp therapy, multi-surface caries, developmental defects (hypoplasia, amelogenesis/dentinogenesis imperfecta), and as abutments for space maintainers. An infraoccluded (ankylosed) primary molar is a CONTRAINDICATION. An ankylosed tooth lacks a functional periodontal ligament and will not exfoliate normally; placing a crown on it serves no benefit since the tooth cannot erupt further and may block the permanent successor. Additional SSC contraindications: more than half the root is resorbed (near natural exfoliation), non-restorable crown due to severe destruction, and known nickel allergy. Infraocclusion is the classic 'except' answer because all other options listed are established indications for SSC.

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