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In dentistry, a crown or a dental cap is a type of dental restoration that completely caps or encircles a tooth or dental implant. A crown may be needed when a large dental cavity threatens the health of a tooth. Some dentists will also finish root canal treatment by covering the exposed tooth with a crown.
The post does not play any role in reinforcing or supporting the tooth and can in fact make it more likely to fracture at the root. [3] When deciding whether or not a tooth requires a post and core crown rather than a conventional crown, the following must be established: [4] Presence of an adequate ferrule (coronal tooth structure)
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]
It has been suggested that tooth autotransplantation may be a successful alternative to osseointergrated dental implants in growing patients, as osseointergrated dental implants are contra indicated in growing patients as they do not grow down with the developing dentition and become fused to the bone. [6]
After an implant is placed the internal components are covered with either a healing abutment, or a cover screw. A healing abutment passes through the mucosa, and the surrounding mucosa is adapted around it. A cover screw is flush with the surface of the dental implant, and is designed to be completely covered by mucosa.
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. A fiberotomy is performed after crown lengthening and is easily performed by the general dentist.
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