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The traditional method for management of dental caries has evolved from the exclusive domain of techniques based on complete caries removal prior to tooth restoration. Norna Hall used pre-formed crowns and cemented over carious primary molars using a glass-ionomer luting cement, with no caries removal, tooth preparation, or local anaesthesia.
Pivot tooth with a ferrule. The pivot tooth [1] [2] is a fixed dental prosthesis used to rebuild a tooth.It is a type of crown-root foundation [], but it is an independent supplement and usually consists of a pin or peg and a full crown [3] permanently connected (i.e., without cement) and placed in the patient's oral cavity during a single visit. [4]
A systematic review concluded that for decayed baby (primary) teeth, putting an off‐the‐shelf metal crown over the tooth (Hall technique) or only partially removing decay (also referred to as "selective removal" [5]) before placing a filling may be better than the conventional treatment of removing all decay before filling. [6]
In dentistry, a crown or a dental cap is a type of dental restoration that completely caps or encircles a tooth or dental implant. A crown may be needed when a large dental cavity threatens the health of a tooth. Some dentists will also finish root canal treatment by covering the exposed tooth with a crown.
If porcelain is to be applied to the gold crown, an additional minimum of 1 mm of tooth structure needs to be removed to allow for a sufficient thickness of the porcelain to be applied, thus bringing the total tooth reduction to minimally 1.5 mm. For porcelain or ceramic crowns the amount of tooth reduction is 2 mm. For metal, it is 1 mm.
A common one used amongst children with caries is a preformed metal crown (PMC). This type of crown is pressed over a decayed tooth without any preparation, local anaesthetic or caries removal, also termed the Hall technique. Studies have shown that more dental practitioners prefer conventional fillings as opposed to PMC’s.