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Temporary filling-materials allow the creation of hermetic coronal-seals preventing from coronal microleakage (i.e. contamination of the root canal by bacteria); their presence over the entire time-period to fill the root canal and restore the tooth crown is mandatory, for increasing the probability of the endodontic-treatment success.
A systematic review concluded that for decayed baby (primary) teeth, putting an off‐the‐shelf metal crown over the tooth (Hall technique) or only partially removing decay (also referred to as "selective removal" [5]) before placing a filling may be better than the conventional treatment of removing all decay before filling. [6]
A root end surgery, also known as apicoectomy (apico-+ -ectomy), apicectomy (apic-+ -ectomy), retrograde root canal treatment (c.f. orthograde root canal treatment) or root-end filling, is an endodontic surgical procedure whereby a tooth's root tip is removed and a root end cavity is prepared and filled with a biocompatible material.
A tooth is unsuitable for periradicular surgery if it does not have a good periodontal support or coronal seal. It must have enough structure to support restoration. Filling the root canals of the tooth from the crown (orthograde root canal therapy) should be the first treatment option to resolve inflammation caused by the tooth.
[3] [4] This problem has not been realised with one study showing long-term data beyond five years, to when the baby teeth are lost, with fewer problems from the tooth with the crown. Crowns placed using the Hall Technique have better long term outcomes ( pain /infection and need for replacement) compared with standard fillings.
Minimal intervention (MI) dentistry is a modern dental practice designed around the principal aim of preservation of as much of the natural tooth structure as possible. It uses a disease-centric philosophy that directs attention to first control and management of the disease that causes tooth decay—dental caries—and then to relief of the residual symptoms it has left behind—the decayed ...
There is a limited amount of time when the cavity affects just the enamel, or the tooth’s outer surface, before reaching the dentin, or the pulp of the tooth.
Afterwards the tooth is restored with a regular filling, either composite or amalgam, or a stainless steel crown. Due to the process of a pulpotomy causing the tooth to become slightly brittle, a stainless steel crown is normally indicated as the preferred choice of definitive restoration. A pulpotomy can be done to both permanent and primary ...
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