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Splinting should only be used in certain situations. Splinting in lateral and extrusive luxation had a poorer prognosis than in root fractures. [ 35 ] An avulsed permanent tooth should be gently rinsed under tap water and immediately re-planted in its original socket within the alveolar bone and later temporarily splinted by a dentist . [ 4 ]
RAIs are custom made to perfectly fit the tooth socket of a specific patient immediately after tooth extraction. Therefore every implant is unique. As an optimised root-form it is much more than a simple 1:1 replica of a tooth. Since it exactly fills the gap left after the tooth is extracted, surgery is rarely needed.
Restorative work is carried out to improve the appearance of the transplanted tooth. Composite is used either as a temporary or definitive restoration. [ 10 ] Partial porcelain veneer can be used as a definitive restoration to match the shape and shade of the natural tooth.
The inferior alveolar nerve block is probably one of the most common methods used by dentist to anaesthetise the mandibular teeth in adults. This technique aims to inject the needle and deposit local anaesthetic close to the nerve before it enters the mandibular foramen, which locates on the medial aspect of the mandibular ramus.
Alveolar osteitis of a socket after tooth extraction. Note lack of blood clot in socket and exposed alveolar bone. Dry-socket (Alveolar osteitis) is a painful phenomenon that most commonly occurs a few days after the removal of mandibular (lower) wisdom teeth. It typically occurs when the blood clot within the healing tooth extraction site is ...
In addition to tooth crown build-up, ankylosed teeth repositioning is another conservative method. In surgical luxation, after the bridge of ankylosis is broken mechanically, the tooth is positioned slightly away from its original site and allowed to erupt with a temporary insertion of a splint or an orthodontic appliance. [5]
Occlusal trauma; Secondary occlusal trauma on X-ray film displays two lone-standing mandibular teeth, the lower left first premolar and canine. As the remnants of a once full complement of 16 lower teeth, these two teeth have been alone in opposing the forces associated with mastication for some time, as can be evidenced by the widened PDL surrounding the premolar.
Indications of alveoloplasty should nevertheless include recontouring or reshaping alveolar bone during tooth extraction surgery. For instance, if alveolar bone has sharp edges after tooth removal, it is necessary to smoothen the bone surfaces to facilitate tooth socket healing process and to avoid any procedural complications such as pain or ...