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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]
Before removing definitive crown restorations it is important to plan for a provisional crown, especially if the crown to be removed is expected to be damaged in the process. This usually involves making an impression of the crown so a temporary can be fabricated chair-side or made by the dental laboratory.
The aim of tooth preparation is to preserve more tooth tissue compared to a crown preparation, while giving an adequate amount of protection to the tooth. The preparation of opposing cavity walls should be cut in a way to avoid undercuts in order to gain optimum retention from the cavity shape for the indirect restoration. [ 20 ]
The post does not play any role in reinforcing or supporting the tooth and can in fact make it more likely to fracture at the root. [3] When deciding whether or not a tooth requires a post and core crown rather than a conventional crown, the following must be established: [4] Presence of an adequate ferrule (coronal tooth structure)
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The crown is usually visible in the mouth after developing below the gingiva and then erupting into place. If part of the tooth gets chipped or broken, a dentist can apply an artificial crown . Artificial crowns are used most commonly to entirely cover a damaged tooth or to cover an implant.
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