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 DEFINITION
Procedure by which there is restored the anatomy of a tooth and whose magnitude, complication or extension exceeds to the typical obstructions, and that are realized by means of the laying of the material composite (compound resins).
SYMPTOMS
The patient shows an extensive caries injury in a tooth that it affects to more than one face or summit, or a big break, or has been endodonciado, etc. pain Can appear before stimuli like the cold or sugary food.
SKILL
A previous history and exploration, along with a suitable position of the patient and of the professional, the use of a correct skill and a few measurements of asepsis are essential norms for the achievement of a big reconstruction. It be usually necessary to realize a previous radiography.
First of all the precise anesthesia is placed and it isolates itself, later to realize the preparation cavitaria with rotary and/or manual set of instruments, bevelling of the rims, and placing or not a protection pulpar with a base cavitaria and the suitable counterfoil. Later the acidic engraving is realized, he washes himself, the adhesives and resins liquids are applied, polimeriza if it is necessary, the cavity is refilled with the composite by layers and polimeriza. In this procedure there must follow the precise indications that every manufacturer indicates in his material. There can be necessary the use of elements of additional anchoring as bolts or pins.
COMPLICATIONS
Sometimes a sensibility appears to the cold that usually yields in a few days. The appearance of continuous pain or before cold and warm thermal stimuli it will indicate us the existence of a pulpitis that can imply the need to realize a conduits treatment (endodoncia). The teeth endodonciados (with conduits treatment) can fracture sometimes since they suffer a weakening. To avoid it the laying of a crown is usually necessary.
WHAT DOCTOR CAN TREAT ME?
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DEFINITION 
