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Crown tractors and forceps can be used to grip the restoration and dislodge it from the tooth preparation. Crown tractors are designed to have rubber grips and powder on their beaks to reduce the risk of damaging ceramic restorations. Crown tractors are quite effective in removing crowns luted with temporary cements. [58]
The lingual nerve can also be damaged (temporary or permanent) during surgical procedures in the mandible, in particular lower wisdom tooth removal. This would present as temporary or permanent numbness/altered sensation/altered taste to the side of tongue (side corresponding to side of surgery).
If permanent restoration cannot be carried out immediately after tooth preparation, temporary restoration may be performed. The prepared tooth, ready for placement of restorative materials, is generally called a tooth preparation. Materials used may be gold, amalgam, dental composites, glass ionomer cement, or porcelain, among others.
When extracting lower wisdom teeth, coronectomy is a treatment option involving removing the crown of the lower wisdom tooth, whilst keeping the roots in place in healthy patients. This option is given to patients as an alternative to extraction when the wisdom teeth are in close association with the inferior alveolar nerve , and so used to ...
The traditional method for management of dental caries has evolved from the exclusive domain of techniques based on complete caries removal prior to tooth restoration. Norna Hall used pre-formed crowns and cemented over carious primary molars using a glass-ionomer luting cement, with no caries removal, tooth preparation, or local anaesthesia.
There is also a shoulder which removes slightly more tooth structure but allows for a thickness of the restoration material, necessary when applying porcelain to a PFM coping or when restoring with an all-ceramic crown (see below for elaboration on various types of crowns and their materials).
The tooth is then washed and dried, and the protective material placed, followed finally by a dental restoration which gives a bacteria-tight seal to prevent infection. [ 4 ] Since pulp capping is not always successful in maintaining the vitality of the pulp, the dentist will usually keep the status of the tooth under review for about a year ...
Metal-based crowns [3] When a permanent crown needs replacement or sectioning for caries removal, the original crown can be modified and used as a temporary restoration. The crown can be relined with bis-acrylic composite resin and cemented on temporarily.
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