追蹤
◣★鄭文彥牙醫診所☆◥
關於部落格
台北市士林區文林路678號2樓
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Clinical crown lengthening procedures in #26, #27

p't had accepted root canal treatment on #26 about 20 years ago without clinical symptom and sign and without clinical and functional mobility. And she had no intention to re-treat the root canal of #26 but would like to keep it as long as possible.
removing all old filling material, undermining caries was found.
Removing all undermining caries to show the sound tooth structure, highly suspect of the trace of MB2 was found. After thorough explantation the possibility of MB2 to p't, she insisted on no further root canal treatment on this tooth.
fiber post on palatal root followed with composite core to build up the residual component.
1-month after post and core fabrication, #26,27 CLP was proceeded.
scalloping internal bevel incision
gingivectomy through the beveling incision
full-thickness flap elevation
ostectomy then osteoplasty were carried out to create ferrule effect and further biologic width.
suturing with primary closure
10-day post-op, sutural removal
4-week post-op, good clinical healing was found
I am going to do prosthetic treatment on #26, #27 2-month after CLP. Many dentists asked me when to carry out the prosthetic treatment procedures ( definite preparation ) after CLP, my answer is " TO ASK THE SURGEON ". The SURGEON is the only one who knows what he/she had done during CLP. "The quantity of ostectomy, osteoplasty" and "the thickness of soft tissue" and "the possibility of primary closure after suturing the wound" and " the remaining cementum on the exposed root surface after CLP", all will effect the time of healing about CLP. If a dentist can control all above mentioned situations, the healing time will be shortened and the would condition will be good and the waiting time for further prosthetic rehabilitation will be shortened too. So, the answer is depending on the surgeon.
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