Root canal issues
Dear Director Zeng,
I would like to ask you a question.
I need to undergo root canal treatment due to a cavity, and the affected tooth is covered by a permanent stainless steel crown.
Therefore, the dentist first removed the crown.
However, there is a gap between the teeth, and during the treatment, to ensure a tight occlusion for the patient, a temporary plastic dental crown was made to replace the permanent stainless steel crown.
Could you please clarify the official name of this temporary crown? Is it referred to as a temporary crown or a liner? What material is it made of? Thank you for your response.
Sincerely,
Zhang Mingzhu
Email: [email protected]
Zhang, 50~59 year old female. Ask Date: 2008/07/17
Dr. Zeng Guanghui reply Dentistry
Hello, Miss: Thank you for your inquiry.
I would like to respond to your question and provide the following advice: Generally speaking, if you have braces and need root canal treatment due to cavities, the original stainless steel crown will be removed first to facilitate the root canal procedure.
During this time, a temporary plastic crown will be made to maintain chewing function.
This temporary plastic crown is made of composite resin and cannot withstand significant occlusal forces.
Once the root canal treatment is completed, a permanent metal crown will be needed to restore chewing function, and the temporary plastic crown will be removed.
Lastly, I wish you peace and happiness.
Reply Date: 2008/07/17
More Info
Temporary dental crowns, often referred to as "temporary crowns" or "provisional crowns," play a crucial role in dental procedures, especially during treatments like root canal therapy or when preparing for a permanent crown. Understanding the terminology and materials used in these temporary solutions is essential for patients undergoing dental treatments.
Terminology
1. Temporary Crown: This is the most common term used to describe a provisional restoration that is placed on a tooth after it has been prepared for a permanent crown. It serves to protect the tooth, maintain aesthetics, and allow for normal function while the permanent crown is being fabricated.
2. Provisional Restoration: This term is often used interchangeably with temporary crown, emphasizing its role as a temporary solution during the transition to a permanent restoration.
3. Temporary Filling: In some cases, especially during root canal treatments, a temporary filling may be used to seal the tooth and protect it from bacteria until a more permanent solution is applied.
Materials
Temporary crowns are typically made from materials that are easy to manipulate and cost-effective, as they are not intended for long-term use. The most common materials include:
1. Acrylic Resin: This is a widely used material for temporary crowns due to its ease of use and ability to mimic the appearance of natural teeth. Acrylic crowns can be fabricated quickly in the dental office.
2. Composite Resin: Similar to acrylic, composite resin can be used for temporary crowns. It offers good aesthetics and can be shaped to match the surrounding teeth.
3. Polycarbonate: This material is often used for anterior (front) teeth due to its aesthetic qualities. Polycarbonate crowns are durable and can be adjusted easily.
4. Aluminum or Stainless Steel: In some cases, especially for posterior teeth, temporary crowns may be made from metal materials. These are more durable and can withstand the forces of chewing.
Function and Importance
The primary functions of a temporary crown include:
- Protection: It protects the prepared tooth from external factors such as temperature changes and bacteria, which can lead to infection.
- Aesthetics: Temporary crowns help maintain the appearance of the smile during the waiting period for the permanent crown.
- Functionality: They allow the patient to chew and speak normally, which is essential for comfort and quality of life.
Care and Maintenance
Patients with temporary crowns should be advised on how to care for them:
- Avoid Hard Foods: Patients should avoid chewing hard or sticky foods that could dislodge or damage the temporary crown.
- Oral Hygiene: Maintaining good oral hygiene is crucial. Patients should brush gently around the temporary crown and continue to floss, being careful not to dislodge it.
- Regular Check-ups: If a temporary crown becomes loose or falls out, patients should contact their dentist immediately for re-evaluation and replacement.
Conclusion
In summary, temporary crowns are essential components in dental treatment, particularly during the transition to permanent restorations. They are typically made from materials like acrylic resin, composite resin, or metal, and serve to protect the tooth, maintain aesthetics, and allow for normal function. Understanding the terminology and materials involved can help patients feel more informed and comfortable during their dental procedures. If you have any further questions or concerns about your dental treatment, it is always best to consult directly with your dentist for personalized advice and care.
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