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Pericoronitis is inflammation of the soft tissues surrounding the crown of a partially erupted tooth, [1] including the gingiva (gums) and the dental follicle. [2] The soft tissue covering a partially erupted tooth is known as an operculum, an area which can be difficult to access with normal oral hygiene methods.
After the crown is fitted using the Hall Technique is placed the child may find that biting feels unusual. This feeling will return to normal in a few days. The gums may appear blanched and feel tight to the child at first but will settle very quickly. The gum may also appear blue around the crown.
If a temporary crown becomes de-cemented, it is important that a dentist examine the patient as overeruption of the opposing teeth may prevent accurate fitting of the final crown. [8] If a dentist cannot be seen in a timely manner, the temporary crown may be re-cemented by applying temporary cement to the temporary crown.
Temporary crowns can either be direct, if constructed by the dentist in the clinic, or indirect if they are made off-site, usually in a dental laboratory. Generally direct temporary crowns tend to be for short-term use. Where medium-term or long-term temporisation is required, the use of indirect temporary crowns should be considered. [10]
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Gingivectomy is the primary treatment method available in reducing the pocket depths of patients with periodontitis and suprabony pockets. [4] [5] In a retrospective comparison between different treatment approach to periodontitis management based on the initial and final gingival health, conventional gingivectomy was proven to be more successful in reducing pocket depths and inflammation ...
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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]