*qacdentistry.co.uk |
One situation where a
provisional crown warrants a separate fee involves a tooth or teeth that are
severely decayed or broken, where the vitality of the nerve or the periodontal
(gum) health is in question. It may be necessary to rebuild the tooth as soon
as possible so that the health of the nerve inside the tooth, and the
periodontal tissue surrounding the tooth, can be evaluated over time before
proceeding with the final crown. When multiple teeth need this treatment, it is
customary to place the provisional crowns on each at the same time. If each
tooth is taken to completion individually before beginning the next tooth,
there is too much opportunity for the remaining damaged teeth to deteriorate
further, thereby complicating treatment and adding to the total cost.
Provisional crowns may be in place for several months before further treatment
is started on the tooth, after which
time the tooth will need to have further preparation and a new provisional
crown made.
When the nerve in the
damaged tooth has a chance of dying, it is easier to save the tooth with root
canal therapy if the final crown has not been placed. It often takes months for
the health of the nerve to be determined. And, in fact, despite using a
long-term provisional crown, the nerve may die years after the final crown is
placed. When that happens, the access for the endodontic treatment is made
through the crown. With respect to the periodontal tissues, if they are
infected or in poor health, they must be healed before final impressions are
made. Periodontal treatment coupled with a well-fitted provisional crown will
promote proper healing. After the periodontal tissue is healthy, its position
with respect to the crown margins will change, and the tooth will be
re-prepared and a second provisional restoration will be made.
Another reason for long-term
provisional crowns to be placed is to stabilize loose teeth and determine the
necessary support for the final cast crowns. When a tooth involved in support
for a bridge or splint has a questionable prognosis, it is a good idea to make
a provisional bridge first and let the tooth (or teeth) function together for
some time to see how well they respond. If the tooth turns out to be hopeless,
it can be removed. If teeth are restored in quadrants at a time (three, four,
five, or more), it may be necessary to do the opposing arch in long-term
provisional crowns in order to establish the ideal occlusal (biting)
relationships between the arches.
There are many and varied
reasons why long-term provisional bridges might be needed. They might stay in
place from months to years, especially in very complicated cases such as many
teeth that are broken down and moderate to severe gum disease needing
correction before the crowns are finally placed. In larger cases, financial
limitations may dictate that treatment be phased over a longer time frame.
Rather than let the teeth get worse during this time, long-term provisional
crowns are made to hold things in place until the treatment can continue.
Call Omni Dental today at (512) 250-5012 to speak with one of our specialists about the latest ways of enhancing your smile and dental health. You can also go to our website: omnidentalgroup.com for more information.
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