Wednesday, April 3, 2013
A patient presented with 2 heavily decayed teeth. She thought that her teeth were hopeless and that they needed to be pulled.
|Preop picture - heavily decayed teeth|
Initial assessment: both teeth are heavily decayed and the premolar (smaller tooth) is fractured to bone level, i.e. we cannot isolate the tooth predictably to do a root canal or place a filling/crown.
1. First Step to saving her two teeth: perform Clinical Crown lengthening procedure.
- Crown lengthening is a minor gum surgery that involves:
- Detaching the gum from around the tooth to expose the bone,
- Ensuring there is a 3mm clearance between the bone and non decayed tooth (or crown/filling margins)
- Result: allow the gums to attach to the root of the tooth, and seal the sterile/clean bony tissue from the oral cavity (the mouth).
2. Second Step: Predictably isolate the teeth then treat them.
- Root canal treatment on both teeth
3. Third Step: complete the temporary fillings - with correct anatomical shaping & seeing the patient in 1 week to place the final crowns (to be made at the office using the Cerec 3D Omnicam)
- Temporary fillings placed and shaped to the correct anatomy
- Copack dressing was applied (Band-Aid for the gums)
- Patient scheduled to place final crowns after proper healing has occured.
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Labels: ali Mehio, aria, bone, broken filling, broken teeth, cad/cam, cavities, crown lengthening, decay, dentist in downtown vancouver, dentist in vancouver, dr Mehio, Mehio, root canal, saving teeth, vancouver dentist