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If the condition is not affecting the patient, no treatment is needed. Concrescence teeth could be reshaped and replaced with full crowns. If the teeth are having recurrent problems, are non-restorable, or are painful, tooth extraction should be considered to prevent further periodontal destruction leading to tooth loss.
Non-restorable teeth must be extracted, followed by curettage of all apical soft tissue. Unless they are symptomatic, teeth treated with root canal therapy should be evaluated at 1- and 2-year intervals after the root canal therapy to rule out possible lesional enlargement and to ensure appropriate healing.
Treatment and prognosis are usually based upon keeping these teeth and preserving the alveolus. For erupted teeth, endodontics is an option if the tooth is devitalized and restorable. For unerupted teeth, function can be restored with a removable partial denture until all major growth has been completed and a final restoration can be placed. [2]
After 10–12 weeks, the outline of the socket is no longer apparent on an X-ray image. Bone remodeling as the alveolus adapts to the edentulous state occurs in the longer term as the alveolar process slowly resorbs. In maxillary posterior teeth, the degree of pneumatization of the maxillary sinus may also increase as the antral floor remodels.
They can be used in direct restorations to fill in the cavities created by dental caries and trauma, minor buildup for restoring tooth wear (non-carious tooth surface loss) and filling in small gaps between teeth (labial veneer). Dental composites are also used as indirect restoration to make crowns and inlays in the laboratory.
The teeth most likely affected are the maxillary anterior teeth, but all teeth can be affected. [95] The name for this type of caries comes from the fact that the decay usually is a result of allowing children to fall asleep with sweetened liquids in their bottles or feeding children sweetened liquids multiple times during the day.
Non-plaque-induced gingival disease is an inflammation of the gingiva that does not result from dental plaque, but from other gingival diseases caused by bacterial, viral, fungal, or genetic sources. Although this gingival disease is less common than those which are plaque-induced, it can have a serious impact on the patient's overall health.
Thus, non-restorable carious destruction is the main reason for extraction of teeth after root canal therapy, accounting for up to two-thirds of these extractions. [32] Therefore, it is very important to have regular X-rays taken of the root canal to ensure that the tooth is not having any problems that the patient would not be aware of.