re: OT Dentists: Question on Kids' Fillings

Crowns placed on adult teeth are completely different from the pedo crowns you are asking about. You would not place an adult crown on a child's tooth.

The reason for placing a 'silver cap' is there may not be enough remaining tooth structure to sustain a filling long term. This could cause failure of the tooth, filling, or both. The solution for this is to cover the whole tooth with a 'cap' so the tooth structure does not come into play. If you absolutely opposed to a silver cap, I'd tell your dentist you understand the risks and would like a resin (tooth colored) filling placed. A tooth repaired with filling would be much better than no fix at all.