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Plastic molar caries
What can you know from your description: 1, molars have dental caries.

2, deep dental caries, cold, heat, pain or spontaneous chewing, there may be jumping pain.

According to the situation: first, if the teeth are not loose, there is no need to extract teeth, and there is no way to implant teeth.

Second, if the pain is only cold or hot and lasts for a short time, then it is very likely that the pulp (nerve) can be preserved. If the pulp can be preserved, there is no need to make braces (crowns).

Third, in some cases, those who can keep the pulp but can't fill it can be directly made into braces. The effect is better than denervation and it saves money.

Fourth, if the pulp or root tip is diseased, there should be a set of protection after root canal treatment.

Fifth, most of the crowns are decayed and the roots can still be used. You can do root canal therapy, post and core, and finally do sleeve to restore tooth shape, which is better than dental implant.