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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]
Crown used as part of implant restoration. Crowns are indicated to: [2] [3] [4] Replace existing crowns which have failed. Restore the form, function and appearance of badly broken down, worn or fractured teeth, where other simpler forms of restorations are unsuitable or have been found to fail clinically.
The earliest known use of a filling after removal of decayed or infected pulp is found in a Paleolithic who lived near modern-day Tuscany, Italy, from 13,000 to 12,740 BP. [4] Although inconclusive, researchers have suggested that rudimentary dental procedures have been performed as far back as 130,000 years ago by Neanderthals. [5]
In the dental specialty of endodontics, periradicular surgery is surgery to the external root surface. Examples of periradicular surgery include apicoectomy , root resection , repair of root perforation or resorption defects, removal of broken fragments of the tooth or a filling material, and exploratory surgery to look for root fractures.
Thus, tooth extraction may be a reasonable treatment option. The tooth could then be replaced with a dental implant. Alternatively, orthodontic extrusion can be used to achieve crown lengthening. Using brackets, light forces can be used to pull the tooth away from the gums within a few months.
Typically the tooth is lifted using an elevator, and using dental forceps, specific tooth movements are performed (e.g. rocking the tooth back and forth) expanding the tooth socket. Once the periodontal ligament is broken and the supporting alveolar bone has been adequately widened the tooth can be removed.
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