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A Cochrane investigation found that the use of antibiotics either just before or just after surgery reduced the risk of infection, pain and dry socket after wisdom teeth are removed by oral surgeons, but that using antibiotics also causes more side effects for these patients. Nineteen patients needed to receive antibiotics to prevent one infection.
In 1944, Murray L. Ballard was the first to advocate for the stripping of the lower anterior teeth due to crowding in a paper published in The Angle Orthodontist.Other authors also advocated about slenderizing the teeth for next 40 years but it was not until the 1980s when John J. Sheridan's Air Rotor Stripping (ARS) technique for interproximal reduction captured significant interest.
Either way, the forces applied by various instruments during both simple and complicated surgical procedure may loosen the teeth present both in front of or behind the tooth depending upon the impact direction and location of the force being applied and that happening only if the forces divert from the actual tooth that needs extraction.
Crowding of the teeth is treated with orthodontics, often with tooth extraction, clear aligners, or dental braces, followed by growth modification in children or jaw surgery (orthognathic surgery) in adults. Surgery may be required on rare occasions.
Management of congenitally absent teeth in one arch with crowding present in the other arch. Premature loss of permanent dentition from caries, trauma, iatrogenic damage or developmental abnormalities. The tooth of choice to replace a tooth missing in the anterior maxillary region is the maxillary second premolars.
Judicious reproximation disking of primary teeth with no tooth extraction is an occasional option. This decision depends on the careful tooth size-arch length evaluation. The amount of crowding, the arch length requirements, whether they are symmetric, and the state of health of the investing tissues are factors that continually impact the ...
Crown lengthening is a surgical procedure performed by a dentist, or more frequently a periodontist, where more tooth is exposed by removing some of the gingival margin (gum) and supporting bone. [1] Crown lengthening can also be achieved orthodontically (using braces) by extruding the tooth.
Radiograph images, before and after the procedure are used to evaluate the outcome of the treatment. The patients are scheduled to follow up at 3, 6, 9, and 12 months after the completion of therapy. The tooth is accessed for different aspects such as pain, swelling, sinus tract, mobility, tooth discoloration, and the occlusion relationship.
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