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Case Sharing: Repair in the rear tooth embedded

Case Sharing: Repair in the rear tooth embedded

2023-02-25

The patient's tooth pain for a few days, recently chewing uncomfortable, came to the doctor, the maxillofacial ditch caries, the caries on the cheeks, black, soft and sensitive, the teeth were not loose, no abnormal gums were seen, no abnormal gums were seen. Essence

Combining the in -mouth examination of the diagnosis of the tooth is the acute seizure of chronic pulpitis. The most effective treatment for pulpitis is the root canal treatment. After the treatment of large -scale dental caries in the teeth, the remaining dental tissue is weak. The repair of the crown can be improved to improve the life of the tooth.


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First shoot X -rays to see the overall situation of the teeth and the root of the teeth, because the problem of the tooth root and root inflammation of the root of the tooth, the X -ray film can show the number of caries and the number of tooth roots.




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After the patient knows the consent, partial disinfection, after infiltrating the anesthesia, go to the rubber barrier, remove the rotten quality, and open the marrow.




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Use a dedicated root canal treatment equipment to explore the dredging root tube.




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The machine uses nickel titanium titanium to prepare the root tube to facilitate subsequent sealing and filling the root tube.




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Dedicated equipment is prepared to a certain form and taper to prepare for the later roots.




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This step of shooting X -ray tip to be filled with the position of the tip of the tip of the roots is critical.




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The hot tooth glue fills the root tube, repeatedly compressed the filling, and the root tube is closed.




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Use the heated tooth glue and paste to fill the root canal, and then shoot the X -rays to ensure that the perfect root tip is closed.




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At this point, the root canal filling can be effectively solved. However, the dental tissue of the crown caries and the dental tissue that is removed for the treatment of the treatment needs to be perfected.




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After the teeth are eclipsed and bonded, the fluid resin is used to put it on the hole to make it better closed around the inner wall.




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The use of dental ointment resin is stacked layered to restore the remaining dental hardness. Because the remaining dental tissue is too small, even if the resin fills, it will cause the split of the remaining dental tissue, so it is ready to make indirect repairing body to protect the teeth.




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Making suitable for the specific situation of dental defects can meet the embedded cave design schemes that can meet the requirements of solid and resistance. Analyze the bite force and stress distribution, design more dental tissue, and make minimally invasive embedded preparation under the guidance of minimally invasive concepts.




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After the preparation is completed, check the full repair space to ensure that the damage to the original dental tissue should be minimized.




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Computer scanning design, tailor -made all -porcelain repair body for CNC milling machines.




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Obback operations are performed under the rubber barrier (the saliva in the isolated mouth makes the bonding effect more ideal).




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Alumina sandblast cleaning the teeth, while completely cleaning and repairing the adhesive surface.




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Complete the redemption of the repair body and the teeth according to the resin bonding process.




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Adjust the bite relationship, restore the original occlusion relationship, and polish the repair body.




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Fix the effect of the body bonding. The development of oral materials and technology has greatly improved minimally invasive, painless, and healing. There are also caries in adjacent teeth, and resin filling immediately.




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The design of the embedded body not only retains more dental tissue, restores the form of teeth and occlusal relationships, but also does not cause damage and reconstruction of the original gum structure and neighborhood relationship. Pay attention to.




At this point, the toothache caused by caries can be restored to the original dental function after a series of treatment. The review after the treatment is also more important. Regular examination of early detection problems and early treatment. Sometimes the root canal treatment is not completed at one time. Some teeth are dragged for a long time. In strict accordance with the requirements of the doctor's re -consultation, the doctor's order.




Precautions for using embedded repairs later:

1. Regarding the grim material: The inhabilities of the whole porcelain material are crispy, and most of the fixation of the embedded body rely on the adhesive between the teeth and the material. Therefore Foods that have been chewed and sticky




2. Do not worry when the repair body is falling off. As long as the repair body does not have a big defect, and can be restored to the original repair position, the doctor can reuse it. Therefore, once the material is off, it is necessary to save the materials for easy bonding.


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