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Tooth loss is a process in which one or more teeth come loose and fall out. Tooth loss is normal for deciduous teeth (baby teeth) , when they are replaced by a person's adult teeth . Otherwise, losing teeth is undesirable and is the result of injury or disease, such as dental avulsion , tooth decay , and gum disease .
Dental pulp of the avulsed teeth should be removed within 2 weeks of replantation and the teeth should receive root canal therapy. [ 5 ] In addition, as recommended in all cases of dental traumas , good oral hygiene with 0.12% chlorhexidine gluconate mouthwash , a soft and cold diet, and avoidance of smoking for several days may provide a ...
As of 2024, the prevalence of pathology reaches over 90%. In patients aged 20 years, an average of 4 intact teeth with enamel cracks are identified. Before 30 years of age, this rate increases 3 times and after 45–50 years of age it is 100%. In 60% of cases there are single fissures, multiple fissures are found in 40% of examined patients.
Composites and amalgam are used mainly for direct restoration. Composites can be made of color matching the tooth, and the surface can be polished after the filling procedure has been completed. Amalgam fillings expand with age, possibly cracking the tooth and requiring repair and filling replacement, but chance of leakage of filling is less.
The most common location of dry socket: in the socket of an extracted mandibular third molar (wisdom tooth). Since alveolar osteitis is not primarily an infection, there is not usually any pyrexia (fever) or cervical lymphadenitis (swollen glands in the neck), and only minimal edema (swelling) and erythema (redness) is present in the soft tissues surrounding the socket.
Anterior teeth typically do not require full coverage restorations after a root canal procedure, unless there is extensive tooth loss from decay or for esthetics or unusual occlusion. Placement of a crown or cusp-protecting cast gold covering is recommended also because these have the best ability to seal the treated tooth.
Onlays are indicated when there is a need to protect weakened tooth structure without additional removal of tooth tissue unlike a crown, e.g. restoring teeth after root canal treatment to give cuspal coverage. It can also be used if there is minimal contour of remaining coronal tooth tissue with little retention. [7]
likelihood of pulpal necrosis in these teeth so root canal therapy with temporary calcium hydroxide filling in first instance and start root canal treatment 2–3 weeks after repositioning stabilise with flexible splint for 4 weeks after repositioning 2 weeks: clinical and radiographic examination
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