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Learn why family dentists reduce teeth in preparation for restorations and how it impacts esthetics, gum health, and overall functionality. Discover the importance of tooth contour and the risks associated with tooth preparation. Understand when endodontic therapy may be needed.
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So you can chew • The tooth must be reduced in size to allow space for chewing with the new restoration.
Esthetics and Gingival Health • The tooth is reduced to allow space for proper contour (esthetics and gingival health) Contour Health of the gums Esthetics
The tooth reduction in size is needed • In the occlusal (chewing) surface to make space for the thickness of the material used in the crown. • Teeth are so sensitive when biting down that even the thickness of a human hair can be felt between the teeth. So if teeth were not reduced you could not chew.
The tooth is reduced: • To allow space so that the tooth can be esthetic looking and have proper contacts (space between the teeth).
The tooth is reduced: • Tooth contour is also very important to maintain your gums healthy.
The tooth is reduced: • For contour
During Tooth prepping • Enamel is removed • Dentin is exposed Enamel Pulp (nerve) Tubules
The Dentin is exposed • The dentin (inner layer) is more sensitive because it is connected to the pulp (nerve).
During tooth preparation for a crown, the chance for damage to the pulp exists. • It is not uncommon to develop mild pulpal symptoms (e.g., Sensitivity to cold and hot that disappears when the stimulant is removed), this situation is usually transient.
During tooth preparation, the chance for damage to the pulp exists. • Usually the pulp produces dentin to protect itself and the nerve continues to be healthy. No treatment is indicated in these situations unless or until symptoms worsen or become intolerable.
My tooth still Hurts • My dentist placed a cap the tooth developed lingering pain and now I need a root canal
Occasionally • The pulp does not recuperate and it becomes inflamed (irritated) or sometimes infected
then • You can develop symptoms such as unprovoked pain, throbbing that interrupts sleep, or pain that lingers after the stimulus is removed.
Endodontic Therapy is then needed • These symptoms are more ominous and suggest irreversible pulpitis. Endodontic therapy is then indicated.