Veneers: Pros and Cons
Vining, veneers, lumineers, tooth coatings, tooth pads. In the article we will tell you what it is, whether they are harmful to health and how much it costs. Veneers are…

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Do you "wedge" your teeth before a composite restoration in the lateral region?
Composite materials for direct restoration of the lateral tooth group are the most common in clinical practice. However, clinicians often need to make a lot of efforts in order to…

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Ankylosis. Part IV: Using Deconorization
As a rule, when choosing a method for treating permanent ankylosed teeth in children, it is recommended that they be removed before the final growth of the jaws. Then, subsequent…

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Do you “wedge” your teeth before a composite restoration in the lateral region?

Composite materials for direct restoration of the lateral tooth group are the most common in clinical practice. However, clinicians often need to make a lot of efforts in order to create reliable, tight interproximal contacts. Due to the polymerization shrinkage of composite materials, to create the correct contact point, it is necessary to separate the teeth by an amount exceeding the width of the matrix.One of the achievements that made it possible to more reliably obtain reliable contact is the use of a sectional matrix and a separation ring. Another recommendation that may be useful is to “wedge” the teeth before treatment (but after the administration of the anesthetic).

Despite the fact that preliminary wedging has existed for a long time, it remains relevant today. This method is the introduction of a wooden wedge (after the introduction of the anesthetic) into the proximal region, which must be restored before the preparation of the tooth begins. In addition to the separation of teeth, the pre-installation of the wedge has other advantages:

Helps protect interproximal fabrics and cofferdams
Helps protect the proximal surface of an adjacent tooth
As the tooth is prepared, the wedge must continuously move into the interproximal space to adapt to any weakening or displacement of the wedge. When setting the matrix, you must use a new wedge.

This approach allows you to get enough time to achieve the necessary orthodontic movement of the involved teeth to compensate for the thickness of the matrix strip and the polymerization shrinkage of the composite material.

Cone-beam Computed Tomography as a Noninvasive Assistance Tool for Oral Cutaneous Sinus Tract Diagnosis: A Case Series
Abstract An oral cutaneous sinus tract is a relatively uncommon condition that is generally associated with long-standing periapical inflammation. The traditional process of oral cutaneous sinus tract diagnosis is an…

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Periodontitis treatment with medical leeches
Periodontitis is a fairly widespread disease in which periodontal tissues become inflamed. It carries a very unpleasant sensation and reduces the quality of life: there is bleeding and swelling of…

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A clinical case of jaw radionecrosis and periimplantitis after radiation therapy
Osteoradinecrosis (ORN) of the lower jaw is a serious complication that can occur in patients after a course of radiotherapy during the complex treatment of neoplasms of the head and…

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Ankylosis. Part II: Treatment of adults with tooth ankylosis
It is known that the root of an ankylosed tooth usually undergoes resorption and subsequent replacement with bone tissue. In addition, if ankylosis occurs before the growth and development of…

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