Tooth Restoration
Deciduous anterior teeth restored with the same color material
We restore deciduous anterior teeth with restorative procedures since these teeth have an early impact on speech, appearance, and nutrition.
Prescribed cases for same-color restorations of deciduous anterior teeth:
- Deciduous anterior teeth with extensive interdental caries.
- Deciduous anterior teeth that underwent endodontic therapy.
- Deciduous anterior teeth that have decayed and lost a large portion of the dental crown.
- Discolored and unappealing deciduous anterior teeth.
- Deciduous anterior teeth with minor interdental caries and extensive enamel surface degradation in the dental cervix.
Prosthesis
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- Replacement of deciduous anterior teeth with prosthesis:
- Loss of maxillary deciduous anterior teeth can be caused by trauma, severe dental caries, or congenital absence. This issue raises the possibility of the child receiving a prosthetic as a replacement for their teeth.
Motives behind using a prosthesis to replace the maxillary deciduous anterior teeth:
- The impact of teeth on facial appeal: Young children, upon their first steps into social interactions, develop an awareness of the significance of physical appeal, and one such aspect is the maintenance of healthy teeth. Hence, it is infeasible to disregard the psychological implications of tooth loss.
- Articulation: The presence of maxillary deciduous anterior teeth is essential for accurately producing the sounds represented by the letters (t) and (s). Indeed, the loss of maxillary front teeth has minimal impact on a child’s ability to talk, if they have already acquired speech skills.
Fissures sealant
- The chewing surface of teeth naturally has a number of holes and grooves, each with a different form from tooth to tooth and individual to individual. Some are deep and narrow, making them difficult to be cleaned, while others are shallow and wide and easily cleaned.
- The shape and depth of cavities and grooves determine the tooth decay susceptibility. Hardly ever does decay occur on a smooth surface
- The deep section of the groove and hollow contains a thin layer of enamel, while in other cases, there is no enamel present. In such scenarios, the enamel is located on or near the dentin. The dentin beneath is swiftly impacted as caries extends within the groove and cavity, particularly in newly emerged and immature teeth. This leads to the formation of a distinct cavity that can rapidly spread across a large area and affect the nerve section of the tooth.
- In the past, all caries-prone grooves were scraped and filled with amalgam as a preventive strategy to lessen the extent and severity of caries.
- Fissure sealant is a dental restorative substance that is diluted; and it is placed into the deep and caries-free occlusal fissures on the surface of posterior teeth. By this manner, it reduces the depth of fissures allowing for better hygienic access with the toothbrush. Consequently, it effectively impedes the accumulation of food debris and prevents the onset of dental caries.
Stainless Steel Crown
(S.S.Crown)
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- Steel crowns in permanent and deciduous teeth
- young deciduous or permanent molars with extensive caries that severely destroy the dental crown cannot occasionally be restored properly or cannot be fixed using standard techniques. Steel coverings (S.S.Crown) are an option in this situation.
- These veneers come in a variety of sizes and are made like metal shells with pre-formed contours. You can adjust them to make them more or less compatible with the target tooth.
The following scenarios involve the use of these coatings:
- Appropriate for the restoration of a permanent or deciduous molar with a congenital enamel or dentin deficiency;
- Restoration of a permanent or deciduous molar in which the dental tissue in the coronal portion may fracture following endodontic therapy.
- A valuable repair for those who are impaired or have poor dental hygiene and may require other oral restoration procedures to fail.
- Appropriate for the restoration of a permanent or deciduous molar that has suffered significant caries and cannot be repaired with the typical restorations.
- Appropriate for children who require anesthetic dental procedures.
- Parents may have concerns and feel dissatisfied due to the lack of suitable color options for these crowns. This is because they are made of steel to enhance their durability, by the world’s top factories, and this is the only way they are presented. Although some factories produce a white variant of these veneers, dentists typically refrain from using them due to their exorbitant cost and inability to meet long-term durability standards. These types of veneers are usually applied to the anterior teeth, where aesthetic appeal is important.
- It is important to note that steel crowns naturally dislodge as deciduous teeth fall and do not require future removal. As these veneers are attached to the crown of the deciduous tooth, as the permanent tooth below emerges, the root of the deciduous tooth starts to decay, leading to the detachment of the crown. When teeth have steel veneers, both the veneer and the tooth’s crown detach simultaneously.
- Steel crowns in permanent and deciduous teeth
Apexogenesis
Maintaining the living tissue within the root of immature permanent teeth to facilitate the root’s further growth and the conclusion of its natural closure
- Two to three years after a permanent tooth erupts into the oral cavity, the tooth’s natural root end blockage happens. This indicates that by then, the teeth’s roots will not have grown completely.
- Teeth with fully developed roots are considered mature.
- Young permanent teeth: these are teeth that have just erupted and do not yet have all of their roots developed.
- The nerve and vascular health of teeth can be influenced by a number of variables, but the two harmful cases for the young permanent teeth are:
- Deep caries (primarily in molars, especially the first permanent molar)
- Trauma-related injuries (mostly to anterior permanent teeth)
- If a young permanent tooth has a significant opening in the nerve chamber or if this opening has persisted for an extended duration, it is possible to severe the coronal portion of the nerve while covering and treating the root portion with the appropriate materials. Such treatment is intended is to preserve the vitality of the root nerve in order to sustain the natural formation process of the root end.
- Permanent first molars, sometimes known as 6-year-old teeth, require specific care when they initially come in. Parents frequently underestimate the permanent nature of these teeth and fail to give them proper attention. As a result, substantial dental decay can occur, even before the child has any pain or discomfort, and sometimes before the tooth has fully emerged, leading to exposure of the nerve chamber. It is noteworthy that the treatment of these teeth must be conducted in one or multiple treatment sessions, depending on the condition of the specific tooth.
