A Mr. Chen went to the hospital with a toothache. As a result, his teeth were pulled out by the doctor and he was told that he needed dental implant treatment, which made him "almost faint". Wouldn't it be better to fill the decayed tooth? Huang Maoshuan, an associate professor at the School of Stomatology of Taipei Medical College and director of dentistry at Shuanghe Hospital, pointed out that if a tooth decays beyond repair, it must be pulled out. Generally, after missing teeth, we should choose dental bridge (denture) or dental implant treatment according to personal bone condition and oral structure. He suggested that if you are in doubt about dental implants, you can seek a second opinion from another doctor, which is helpful for the success rate and maintenance of subsequent dental implants.
Tooth decay can be filled, and root canal treatment can only be done if the defect is serious.
Huang Maoshuan pointed out that in general, if you only eat enamel (the outermost layer of teeth), you can fill it with resin or silver powder after digging; If pulpitis occurs, root canal treatment must be carried out, and the nerves in the teeth should be cleaned up before sealing. However, if the occlusal function is lost or the occlusal surface is uneven after tooth decay, it may be necessary to wear a denture crown (denture) for reconstruction, and at the same time pay attention to the shape of the joint between the crown and the periodontal. The crown can be made of metal, ceramics and other materials.
If the ratio of decayed root to residual crown is lower than that of gum, root canal treatment cannot be carried out, and the residual teeth are not enough to support the crown, so tooth extraction must be carried out.
Keep natural teeth, and it is best to implant teeth or dentures after missing teeth.
"The primary task of tooth defect is to preserve natural teeth. You can make a false crown and keep the root after nailing. However, Huang Maoshuan stressed that if there is missing teeth after tooth extraction, it is necessary to choose bridge or dental implant treatment according to the patient's periodontal and skeletal conditions.
Dental bridge is a traditional and very common treatment method. The teeth on both sides of the missing tooth are used as piers, and the teeth on both sides of the missing tooth are properly polished, so that the three teeth together with the missing tooth can be used as an image bridge to restore the occlusal function of the teeth.
However, if you don't want to wear natural teeth on both sides of the missing teeth, then single-tooth implants are another option. Huang Maoshuan said that at present, the success rate of dental implants is quite high, as long as the bone thickness and height are sufficient and will not infringe the maxillary and mandibular nerves, it can be applied. Even if the bone condition is insufficient, guided bone regeneration can be used to increase the thickness and length of the bone.
Does dental implant have sequelae? D: get a second opinion.
Regarding the rumors that Mr. Chen is worried about "there will be sequelae after dental implants" and "it is not good for metals to stay in the body", Huang Maoshuan clarified that there are indeed a few people who have dental implant allergies. The sequelae of dental implants often come from poor bone integration, which may be related to their own bone conditions, dental cavity structure, and physician skills.
Huang Maoshuan suggested that if you have any questions about dental implants, you can seek a second opinion from another doctor, which is helpful for the success rate and subsequent maintenance of dental implants.
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