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\n\t Sooner or later we all have to use the services of a prosthodontist. A crown on a decayed tooth, a bridge, a bracket or plate prosthesis, veneers – whatever method we use, the success of treatment depends largely on the preparation for prosthetics.<\/p>\n

\n\t Specific measures may vary depending on the type of work, but there are general principles. If they are not followed, it may be a reason to change dentistry. A qualified prosthodontist is interested in the result of his labor. Such a doctor understands that there are no trifles.<\/p>\n

Psychological preparation<\/h2>\n

\n\t Most people are afraid of going to the dentist. A patient who is stiff, shaking from fear does not go well to a conversation, it is difficult to interact with him. The work of the prosthodontist begins long before the fitting of the prosthesis. The first thing to do is to establish emotional contact. If the doctor is friendly and attentive, he is trustworthy. The patient will be more open to discussing treatment methods, nervousness will decrease. During the conversation, the dentist collects information about:<\/p>\n

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• the patient’s complaints;<\/li>\n
• past treatment experience and results;<\/li>\n
• the presence of common diseases and allergic reactions.<\/li>\n<\/ul>\n

  \n\t During the examination, the prosthodontist pays attention not only to the condition of the oral cavity, but also to facial asymmetry, cheek and lip depression.<\/p>\n

  \n\t To assess the condition of the teeth and see hidden defects, an orthopantomogram (panoramic image) or CT scan is usually ordered. This is not a whim of the doctor, but a desire to create a complete picture, taking into account all the details. In addition, the image can reveal inflammatory processes that are not visible during the examination.<\/p>\n

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  \n\t Based on the results, different types of preliminary treatment are prescribed.<\/p>\n

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  \n\t\t\t\t\t\t \u0412\u044a\u043f\u0440\u043e\u0441:<\/p>\n

  \n\t\t\t\t\t\t I don’t want to remove the nerves in my supporting teeth for a bridge. What are the options?<\/p>\n

  \n\t\t\t\t\t\t \u041e\u0442\u0433\u043e\u0432\u043e\u0440:<\/p>\n

  \n A zirconium dioxide bridge involves the fabrication of thin crowns for the supporting teeth, so in some cases, it is possible to do without heavy grinding and depulping.<\/p>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n

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  \n\t\t\t\t\t\t \u0412\u044a\u043f\u0440\u043e\u0441:<\/p>\n

  \n\t\t\t\t\t\t When the teeth are ground down, will anything be put on the residual limb? Or do I just walk around with sharp fangs?<\/p>\n

  \n\t\t\t\t\t\t \u041e\u0442\u0433\u043e\u0432\u043e\u0440:<\/p>\n

  \n\t\t\t\t\t\t After the teeth are prepared, protective temporary crowns are placed over the teeth until the permanent denture is placed<\/p>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n

  \n Next ><\/span><\/span><\/p>\n<\/p><\/div>\n<\/div>\n

  Therapeutic phase<\/h2>\n

  \n\t In preparation of the teeth for dentures, a complete oral sanitation is performed:<\/p>\n

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  • treatment of caries, pulpitis, periodontitis;<\/li>\n
  • elimination of inflammatory processes in the periodontium;<\/li>\n
  • removal of tartar, plaque;<\/li>\n
  • polishing and grinding of enamel;<\/li>\n
  • depulping (nerve removal).<\/li>\n<\/ul>\n

    \n\t Not all procedures on the list are mandatory. The patient may have healthy or well-treated teeth, but plaque removal is necessary. This reduces the risk of infection.<\/p>\n

    \n\t Removing the pulp is now widely debated in the dental community. Most agree that each case deserves separate consideration, but still practice shows that it is safer to depulp the tooth.<\/p>\n

    \n\t This is due to the fact that there is a risk of inflammation under the crown, in which the entire structure is removed.<\/p>\n

    \n\t Removal of the pulp is mandatory if:<\/p>\n

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    • it is planned to remove a thick layer of hard shell, leaving the dentin exposed;<\/li>\n
    • in case of a significant inclination, which is corrected by turning;<\/li>\n
    • when splinting the teeth of patients with periodontitis.<\/li>\n<\/ul>\n
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