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Can this tooth be saved fractured cusp скачать в хорошем качестве

Can this tooth be saved fractured cusp 8 лет назад

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Can this tooth be saved fractured cusp
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Can this tooth be saved fractured cusp

http://www.kohlerdentistry.com I like to bond this tooth in place, if the patient brings in the tooth fragment. It is inexpensive for the patient. If it works, you are the hero. When you go down any of the other alternatives, the risk of failure is clearly on the dentist's shoulders. The dentist needs to be extremely clear about the risks, possible longevity of the crown, time and expenses involved. The implant is the best choice(Alternative 5 , followed by Alternative 2. If the patient wants to keep the tooth, then then Alternative 1 or 4). Alternative 3 is a heartbreak waiting to happen. Success is extremely limited. Alternative 1) The zirconium crown is a smaller margin .5 mm and may work if the patient has the finance. see    • Conservative Zirconium crown for strong bite   for a conservative crown prep for zirconium that has mechanical retention as well as cement. It is now possible to bond the zirconium to the tooth. There is a possibility that the palatal cusp could shear off. or Alternative 2)    • New crown type verses 20 year old crown   a top on tooth e max (lithium disilicate ) where only the occlusal reduction would be done on the palatal cusp. All the retention would come from bonding the crown to the tooth. This option the crown might come out of the mouth by debonding , but the tooth would probably not break. If the crown could not be kept on the tooth due to occlusal forces alternative 4 could be done.or Alternative 3) (not recommended) The traditional porcelain to metal crown would remove a larger portion of the palatal cusp. Though it is possible to have only .5 mm removal on the palatal cusp and a metal collar with a chamfer margin. This often fails, even with a root cal and post done for added protection. Here is an example of how it can get out of hand and lead to tooth fracture and subsequent lost.    • LOOSE TEETH  POOR FERRULE EFFECT   Alternative 4) A root canal with a core or bonded post could be placed. The bonded emax (lithium disilicate) crown could be bonded to the tooth and post as well. This would create the best solution and could be done. There may need to be crown lengthening done as well to have a good biological zone around the tooth. This can be very expensive for a highly compromised tooth. Alternative 5) An Implant (Best choice, if it works) There is a high 90's% chance that an implant will work. If your results are 98%, the 2 patients out of every 100 need an alternative plan when the implant fails. Recommending the extraction without the patient realizing the possible consequences leads to an unhappy patient. The thought will cross the patient's mind "I wish that i would have kept my tooth" Here is a successful implant case.    • implant placement GUM TISSUE saved  

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