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Crowns, dentists prefer to place crowns. Because the enamel of baby teeth is thinner than the enamel of permanent teeth, decay can spread quickly between the teeth. 7 Questions Patients Ask About Crowns Dental crowns Are crowns necessary even if the baby teeth are going to fall out anyway? Crowns on baby teeth necessary . The alternative to using a crown would be extraction, which can lead to complications if a baby tooth is removed too soon such as blockage, misalignment or tipping of baby teeth, or crowding of permanent teeth as they begin to arrive. At li’l sunshine smiles dentistry, we invest in the latest technology to provide cutting edge, quality care.nusmile signature dental crowns are our restoration of choice for primary teeth affected by early childhood caries. Most dentists will use stainless steel crowns for baby teeth. Are crowns on baby teeth necessary? They are also called deciduous teeth and primary teeth. These can help restore strength, size, and shape o...