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The root canal filling material (3, 4, and 10) does not extend to the end of the tooth roots (5, 6 and 11). The dark circles at the bottom of the tooth roots (7 and 8) indicated infection in the surrounding bone. Recommended treatment is either to redo the root canal therapy or extract the tooth and place dental implants.
Examples of this are undercuts, slots/grooves or root canal posts. In some cases this may necessitate excessive amounts of healthy tooth structure to be removed. Hence, alternative resin-based or glass-ionomer cement-based materials are used instead for smaller restorations including pit and small fissure caries.
The primary use of dental implants is to support dental prosthetics (i.e. false teeth). Modern dental implants work through a biologic process where bone fuses tightly to the surface of specific materials such as titanium and some ceramics. The integration of implant and bone can support physical loads for decades without failure. [10]: 103–107
Root analogue ceramic dental implant in comparison with titanium screw type implant As technology has improved, so has implant success rate. Conventional titanium dental implants typically have success rates of 90–95% for 10-year follow-up periods, but this is based on questionable definitions of success. [ 5 ]
In dentistry, a crown or a dental cap is a type of dental restoration that completely caps or encircles a tooth or dental implant. A crown may be needed when a large dental cavity threatens the health of a tooth. Some dentists will also finish root canal treatment by covering the exposed tooth with a crown.
The root canal treatment procedure is often carried out over single [4] or multiple appointments. [5] Root canal treatment involves: [9] Removing the damaged and infected pulp; Shaping the entire root canal system; Cleaning and disinfecting the entire root canal system; Filling and sealing the root canal system
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