[Saving Teeth] They Said the Broken Tooth Has to Be Removed and Replaced with an Implant.

This is Dr. Jeon Jun-hee, head of the conservative dentistry department at Sinchon Chia Jikimi.

If you are reading this post,

you probably

had a tooth come out with the crown attached,

or suddenly broke a tooth badly while eating,

and were told that it needs to be extracted.

Of course, if the cavity is so large

that the remaining tooth can no longer function at all,

then extraction is necessary.

The case below

was one in which several conditions lined up,

and fortunately the tooth could be saved.

The key is:

"What is lacking in the tooth is borrowed from the gum and root."

If you follow this patient’s treatment journey to the end,

you will understand what I mean.

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This is a severely broken tooth.

It seems it came in with the crown attached.

She was a young woman...

The tooth was gone from a position visible when she smiled, so she was very embarrassed.

Along with the fear that she would have to get an implant for the first time in her life.

Had the cavity gone all the way down to the root?

At that point, I would say yes.

Usually, when decay reaches the root,

the strength of the tooth itself becomes weakened,

and even if treatment is somehow possible,

it is difficult to perform proper treatment amid all the blood and saliva pouring out,

so in reality, most cases end up requiring extraction.

I also clearly recommend extraction for cases where long-term survival is doubtful.

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First, we removed the decay.

The root looks fine.

Could we save this root and use it?

I think about it for a moment.

Looking closely at the X-ray,

the root is longer than expected.

The gum also looks healthy and thick.

In that case, part of the root is exposed through a gingivectomy.

The photo above shows the tooth after all the decay has been removed and the root exposed through gingivectomy.

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Of course, root canal treatment is necessary.

The decay had already spread to the nerve.

And then a small ceramic resin rod called a post is inserted into the root.

You can think of it as a support that holds up the crown and root.

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You can see a round, opaque shape in the center of the tooth.

That is the cross-section of the post.

The white part is resin.

You can understand it as resin being placed on top of the root, with a post inserted to hold it in place.

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The final step is always a strong crown.

This is a side note, but

many people debate between zirconia and gold,

and zirconia is already being used as a crown material for molars across the universe(?).

Because Korea’s gold processing technology is excellent^^

In the past, gold crowns were preferred, and I also often recommended gold crowns to patients for teeth that are not easily visible.

But these days, even elementary school kids know that gold prices have risen so much

that the cost-effectiveness^^; of gold crown treatment has dropped a lot.

In addition, zirconia processing technology has made remarkable progress,

and since it is widely used in the West and even called a "white diamond,"

its strength and durability are well recognized,

so you can use it with confidence!

Anyway,

just because a tooth is broken does not mean it must always be removed.

There are several tooth fracture cases uploaded on the blog as well,

so if you are interested, I recommend giving them a read.

Well then, that’s it~

#DentalConservativeSpecialist

#SinchonDentalClinic

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