For Pedo SSC placement, how to handle the ones with reduced mesial-distal dimensions due to decays? What about for primary molars with bad occlusal wears?
I'm a general dentist working in a medicaid heavy DSO office. I'm trying to increase my SSC placement efficiency while having high quality. It takes me much longer time to place both SSCs for the two upper primary molars with reduced M-D dimensions due to decays. I usually try to increase B-L of the SSC by reducing M-D size using a plier. But most of time, I had to do significant crown reduction to be able to fit in the SSC crowns, increasing the chair time significantly. Anyone has tips to increase the efficiency?
Another question: for the kids with severe occlusal wear at the primary molars due to grinding, how do you handle the occlusal reduction? Sometimes, further occlusal reduction wouldn't be possible due to the lack of crown retention. Is it ok to increase the occlusal vertical dimension after SSC placement? Like doing full moth rehab for adult grinders?