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Failure to re-plant the avulsed tooth within the first 40 minutes after the injury may result in a less favorable prognosis for the tooth. [15] If the tooth cannot be immediately replaced in its socket, follow the directions for any knocked-out (avulsed) teeth kit, or place it in cold milk or saliva and take it to an emergency room or a dentist.
Pulp necrosis is a clinical diagnostic category indicating the death of cells and tissues in the pulp chamber of a tooth with or without bacterial invasion. [1] It is often the result of many cases of dental trauma, caries and irreversible pulpitis.
If permanent restoration cannot be carried out immediately after tooth preparation, temporary restoration may be performed. The prepared tooth, ready for placement of restorative materials, is generally called a tooth preparation. Materials used may be gold, amalgam, dental composites, glass ionomer cement, or porcelain, among others.
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When teeth are damaged or injured in any way, as internal bleeding occurs in the pulp chamber, blood gets into the dentinal nerves and gets trapped into the pulp, staining the dentin. Post trauma, a tooth can discolour and turn black or grey within a few days and if the injury is mild the tooth may return to its original status.
Where the enamel (the hard outer surface of the tooth) has cavitated or even has a small breach due to tooth decay, the cavity can be enlarged with special hand instruments when necessary to enable access to the soft decayed tooth tissue. After removing as much decay as necessary, the cavity is cleaned with water, dried and filled with the HVGIC.
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