The patient presented with an old amalgam (silver) filling that had began to fall out over time. The tooth appeared to have some cracks and it was clearly visible that small pieces of the filling were missing. After performing an exam and xray, Dr. Patel diagnosed that the tooth was fractured and had current decay close to the nerve. Due to the failed existing restoration, extent of decay and condition of tooth structure, Dr. Patel recommended a build up, crown and pulp cap as treatment. The tooth was excavated, removing all present decay. During this process, laser treatment was used to access decay from under the gum line and remove the unhealthy gum tissue . Decay had reached close to the nerve, so a pulp cap was placed. A pulp cap is a material used to protect exposed nerve that is still healthy, in order to help prevent a root canal. The tooth was then built up to provide a proper base for the crown. Using the CEREC computer and milling chamber, Dr. Patel conveniently scanned the area, designed a crown and cemented it all in the same day. This eliminates the hassle of taking impressions and dealing with a temporary crown while waiting for a lab to finish the process. The patient's crown was cemented and proper adjustments were made for a correct fit and bite. He continued to return for his routine hygiene visits.
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