@sana.don731:

Sana Don
Sana Don
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Region: PK
Tuesday 30 June 2026 01:37:05 GMT
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Golam Mostafa ❤️‍🩹🥰❤️🥰 :
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md, imran choudhure :
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গোসল করার জন্য আমার
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Other Videos

post-root canal treatment (post-RCT) crown fracture is a relatively common complication because root canal-treated teeth are more brittle and often have lost substantial tooth structure due to decay, previous restorations, or the access cavity. Common causes of post-RCT crown fractures Loss of tooth structure from caries or large fillings. Lack of cuspal coverage (no crown placed when indicated). Heavy biting forces or bruxism (teeth grinding). Trauma or accidental injury. Thin remaining tooth walls. Types of fractures Enamel fracture – Minor chip involving only enamel. Enamel-dentin fracture – Involves enamel and dentin without pulp exposure (the pulp has already been removed in an RCT tooth). Cusp fracture – One or more cusps break off; common in posterior teeth. Crown fracture extending below the gum line – May require crown lengthening or orthodontic extrusion before restoration. Crown-root fracture – Extends into the root; prognosis depends on the fracture depth and location. Vertical root fracture – A serious complication in endodontically treated teeth, often requiring extraction. Clinical presentation Sudden crack or breaking of the tooth. Pain on biting or chewing. Sharp edges. Mobility of a fractured fragment. Occasionally swelling if the fracture extends into the root. Management Minor fractures: Composite restoration. Cusp fractures: Onlay or full-coverage crown. Extensive crown loss: Post and core (when indicated) followed by a crown. Subgingival fractures: Crown lengthening or orthodontic extrusion before restoration. Vertical root fracture: Extraction is usually the treatment of choice. Prevention Place a full-coverage crown on posterior teeth after RCT when indicated. Preserve as much natural tooth structure as possible. Use a night guard for patients with bruxism. Schedule regular follow-up examinations. Overall, the prognosis depends more on the amount of remaining tooth structure and the type of fracture than on the root canal treatment itself. Teeth restored promptly with appropriate cuspal coverage generally have a significantly lower risk of fracture #dental #dentalclinic #dentalcare #dentalcrown #pakistan
post-root canal treatment (post-RCT) crown fracture is a relatively common complication because root canal-treated teeth are more brittle and often have lost substantial tooth structure due to decay, previous restorations, or the access cavity. Common causes of post-RCT crown fractures Loss of tooth structure from caries or large fillings. Lack of cuspal coverage (no crown placed when indicated). Heavy biting forces or bruxism (teeth grinding). Trauma or accidental injury. Thin remaining tooth walls. Types of fractures Enamel fracture – Minor chip involving only enamel. Enamel-dentin fracture – Involves enamel and dentin without pulp exposure (the pulp has already been removed in an RCT tooth). Cusp fracture – One or more cusps break off; common in posterior teeth. Crown fracture extending below the gum line – May require crown lengthening or orthodontic extrusion before restoration. Crown-root fracture – Extends into the root; prognosis depends on the fracture depth and location. Vertical root fracture – A serious complication in endodontically treated teeth, often requiring extraction. Clinical presentation Sudden crack or breaking of the tooth. Pain on biting or chewing. Sharp edges. Mobility of a fractured fragment. Occasionally swelling if the fracture extends into the root. Management Minor fractures: Composite restoration. Cusp fractures: Onlay or full-coverage crown. Extensive crown loss: Post and core (when indicated) followed by a crown. Subgingival fractures: Crown lengthening or orthodontic extrusion before restoration. Vertical root fracture: Extraction is usually the treatment of choice. Prevention Place a full-coverage crown on posterior teeth after RCT when indicated. Preserve as much natural tooth structure as possible. Use a night guard for patients with bruxism. Schedule regular follow-up examinations. Overall, the prognosis depends more on the amount of remaining tooth structure and the type of fracture than on the root canal treatment itself. Teeth restored promptly with appropriate cuspal coverage generally have a significantly lower risk of fracture #dental #dentalclinic #dentalcare #dentalcrown #pakistan

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