Psychology in endodontics. Microscope in endodontic practice, personal observations
Since 1999, I have been working with an endodontic microscope, during this time my attitude to this subject has evolved from irritation due to the need to retrain, to drug…

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What can be associated with increased tooth sensitivity?
Unpleasant symptoms are familiar to almost everyone and are unmistakably recognized. Teeth begin to respond to previously familiar hot coffee, ice cream, tea, cocktails. In advanced cases, even brushing your…

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Crowns on the teeth. Which are better?
A dental crown is a fixed prosthesis that is used in cases of tooth decay of more than 50 percent in order to restore the functional load and aesthetics of…

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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.

Ankylosis. Part V: Autotransplantation
Usually, in the treatment of ankylosed teeth in children, it is recommended to remove such teeth before intensive growth cycles so that the growth and subsequent teething do not create…

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Irrigator - an indispensable device for the care of dental implants
Patients who have undergone dental implantation or have pins are probably familiar with the concept of “irrigator”. Perhaps not everyone knows what exactly he is and how to use it…

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Is it possible to restore a tooth if a piece breaks away from it?
A common situation - an unsuccessfully caught nut or other hard object in food leads to tooth damage right up to a chip. The same thing happens with the bones…

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Ankylosis. Part III: Treatment of Children with Permanent Ankylosis
As mentioned in parts I and II of the series of articles about ankylosis, several factors must be taken into account when choosing the appropriate treatment option for ankylosed tooth.…

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