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[1] A crown is typically bonded to the tooth by dental cement. They can be made from various materials, which are usually fabricated using indirect methods. Crowns are used to improve the strength or appearance of teeth and to halt deterioration. While beneficial to dental health, the procedure and materials can be costly.
Pivot tooth with a ferrule. The pivot tooth [1] [2] is a fixed dental prosthesis used to rebuild a tooth.It is a type of crown-root foundation [], but it is an independent supplement and usually consists of a pin or peg and a full crown [3] permanently connected (i.e., without cement) and placed in the patient's oral cavity during a single visit. [4]
A crown is used to cover a tooth and may be commonly referred to as a "cap." Traditionally, the teeth to be crowned are prepared by a dentist, and records are given to a dental technician to construct the prosthesis. The records include models, which are replicas of a patient's teeth, and the impressions used to make these models.
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.
A systematic review concluded that for decayed baby (primary) teeth, putting an off‐the‐shelf metal crown over the tooth (Hall technique) or only partially removing decay (also referred to as "selective removal" [5]) before placing a filling may be better than the conventional treatment of removing all decay before filling. [6]
This consideration of crown-to-root ratio is essential when evaluating the tooth for a crown-lengthening procedure. In the picture at right, the two teeth on the extreme left and right are the ones under discussion. The two teeth in the middle have been endodontically treated, but do not have post and cores.
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