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Saving The Wisdom!

Friday, April 5, 2013

Although wisdom teeth may be hard to maintain and treat, some patients refuse to part from them.
Wisdom teeth often represent a challenge for dentists due to the complexity of their anatomy and their remote position in the mouth.

We recently had a patient who insisted on saving his wisdom tooth. He is in his 60's, he has a few teeth left, among them a wisdom tooth.  He wanted to hold on to it, even though it wasn't functional (no opposing teeth to chew on).

Preoperative picture of the wisdom tooth, upper left side. The rubber dam is in place. A mirror is needed to photograph the tooth.

The tooth was prepared for an onlay. The ceramic will be mainly retained from the inside of the tooth, to preserve as much of the tooth as possible. Note: The tooth had a root canal treatment in the past. 

Omnicam 3D scan of the wisdom tooth and the tooth adjacent to it. No impression or powder involved. 

Onlay design by the Omnicam - CAD component. The margins were traced and the computer generated the crown.

The Onlay design, as it will be milled by the Cerec CAM component out of the block of ceramic.

The cemented crown, after it was stained and glazed.

The crown in the patient's mouth 1 hour later! The patient was thrilled with the results :-)
Do you have a comment, a question or would like to schedule a consultation? Follow this link for our contact information: http://ariadental.com/contact.php

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At April 5, 2013 at 7:29 PM , Anonymous Anonymous said...

wow that's great, I didn't know you could do that!

At April 12, 2013 at 8:24 AM , Anonymous Anonymous said...

So question. If the tooth wasn't functional and minimal risk for fracture why did you do an expensive onlay, rather than a large composite buildup. Minimal fracture risk an be is not chewing on it.

At April 16, 2013 at 11:25 PM , Anonymous Dental clinic in Gurgaon said...

i like this post as people will come 2 know about their dental conditions

At April 18, 2013 at 4:46 PM , Blogger Aria Dental said...

Dear Anonymous,

Thanks for your excellent question!
Most often, wisdom teeth are either extracted or filled with a restorative filling as you mentionned.
In this patient's case, he lost lots of teeth and he wanted to hold on to his wisdom tooth. The tooth is hard to maintain and to fill predictably. Moreover, that tooth had a root canal therapy, so it is more likely to fracture then a tooth with a healthy pulp. The Cerec Omnicam allows me to design and mill a very precise ceramic restoration that would hold its smoothness better then composites can. In the end, both options where given to this patient, and he opted for the Ceramic option.
I hope that answers your question! :-)


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