Restorative Dentistry

You’re missing a single tooth. Until recently your only options were limited: a fixed bridge or a removable partial denture — which meant removing enamel from adjoining teeth. It was a very short list that could not compare to the success rate and longevity the new solution provides

The New Single Missing Tooth Solution

Thanks to modern dentistry techniques, single tooth implants are now an excellent alternative. Although most patients use tooth implants to replace an ill-fitting denture, or to bridge a large gap of several missing teeth, it’s now possible for you to have a single tooth replacement.

You’re a good candidate for single tooth implants if you are in good health and the jawbone where the tooth implant will be fitted has not receded. You have to be of age, since your facial growth must be complete.

There are many advantages to this procedure. Single tooth implants are strong. Unlike dentures, they require less care. And the implants look and feel natural. So instead of being embarrassed by a missing tooth, you’ll now have something to smile about.

Are you about to lose a tooth?

A great time to provide the bone support required to replace a missing tooth with an implant is actually immediately when the tooth is extracted or pulled. With new techniques and proper case selection you may find you are a candidate for immediate implant placement as well. You don’t have to go a day without your tooth.

A composite is a tooth colored filling that is used to repair a tooth that is affected by decay, cracks, fractures, etc. The decayed or affected portion of the tooth will be removed and then filled with a composite filling.

There are many types of filling materials available, each with their own advantages and disadvantages. You and your dentist can discuss the best options for restoring your teeth. Composite fillings, along with silver fillings, are the most widely used today. Because composite fillings are tooth colored, they can be closely matched to the color of existing teeth, and are more aesthetically suited for use in front teeth or the more visible areas of the teeth.

As with most dental restorations, composite fillings are not permanent and may someday have to be replaced. They are very durable, and will last many years, giving you a long lasting, beautiful smile.

Reasons for composite fillings:

• Chipped teeth.
• Closing space between two teeth.
• Cracked or broken teeth.
• Decayed teeth.
• Worn teeth.

How are composite fillings placed?

Composite fillings are usually placed in one appointment. While the tooth is numb, your dentist will remove decay as necessary. The space will then be thoroughly cleaned and carefully prepared before the new filling is placed. If the decay was near the nerve of the tooth, a special medication will be applied for added protection. The composite filling will then be precisely placed, shaped, and polished, restoring your tooth to its original shape and function.

It is normal to experience sensitivity to hot and cold when composite fillings are first placed, however this will subside shortly after your tooth acclimates to the new filling. After any trauma has been sustained by the tooth it is possible the tooth will need a root canal in the future this includes but is not limited to cavities, drilling, polishing, wear, or facial accident.

You will be given care instructions at the conclusion of your treatment. Good oral hygiene practices, eating habits, and regular dental visits will aid in the life of your new fillings. The best filling is no filling at all, see our preventive care section to learn more.

A silver amalgam filling is used to repair a tooth that is affected by decay, cracks, fractures, etc. The decayed or affected portion of the tooth will be removed and then filled with a silver filling.

There are many types of filling materials available, each with their own advantages and disadvantages. You can discuss the best options for restoring your teeth with us at your appointment. Amalgam fillings, along with composite or tooth colored fillings, are the most widely used today. An amalgam filling is more commonly used in the back teeth since the color is not as aesthetic as a composite filling.

As with most dental restorations, amalgam fillings are not permanent and may someday need replacement. They are very durable, and will last many years, giving you a long lasting smile.

Reasons for amalgam fillings:

• Cracked or broken teeth.
• Decayed teeth.
• Worn teeth.

What does getting an amalgam filling involve?

Amalgam fillings are usually placed in one appointment. While the tooth is numb, your dentist will remove decay as necessary. The space will then be thoroughly cleansed and carefully prepared before the new filling is placed. If the decay was near the nerve of the tooth, a special medication will be applied for added protection. The silver filling will then be precisely placed, shaped, and polished, restoring your tooth to its original shape and function.

It is normal to experience sensitivity to hot and cold when amalgam fillings are first placed, however this will subside shortly after your tooth acclimates to the new filling.

Amalgam fillings are safe but we respect your opinion on the restorative material used in your body. Please engage us in a conversation about the options of restoring your teeth. Silver fillings have been scientifically proven to be safe for both the patient and the health care provider when proper placement and office protocols are followed. We understand the controversial aspect of amalgam containing products and will continue to stay updated, trained, and conservative on the use of such products to protect our patients, dental team, and environment.

Cracked and fractured teeth are common dental problems. As people retain their natural teeth longer due to advances in dental technology, the likelihood of cracked teeth increases. There are many reasons why teeth may crack, for example, biting on hard objects, trauma, grinding and clenching of teeth. All of these behaviors place the teeth under extra strain and render them more susceptible to cracking.

When tooth enamel is cracked, pain can become momentarily debilitating. When no pressure is exerted on the crack there may be no discomfort. However, as the cracked tooth performs a biting action, the crack widens. The pulp and inner workings of the tooth then become exposed, and painful irritation occurs. As pressure is released again, the two parts of the crack fuse back together, and pain subsides. If left untreated, the pulp becomes irreversibly damaged and constantly painful. The resulting pulp infection can affect the bone and soft tissue surrounding the tooth.

Symptoms of a cracked tooth may include:

• Unexplained pain when eating.
• Sensitivity to warm and cold foods.
• Pain with no obvious cause.
• Difficulty pinpointing the location of the pain.
• What kind of cracks can affect the teeth?

There are many ways in which a tooth can be cracked. The specific type of crack will determine what type of treatment is viable. In many cases, if the crack is not too deep, root canal therapy can be performed and the natural tooth can remain in the mouth. In other situations, the tooth is too badly damaged and requires extraction.

Here is a brief overview of some of the most common types of cracks:

Crazes – These are generally tiny vertical cracks that do not place the teeth in danger. These scratches on the surface of the teeth are a normal part of the tooth anatomy. A craze does not requires treatment for health reasons, but a wide variety of cosmetic treatments can be performed to reduce the negative aesthetic impact. These should be documented and monitored to avoid unnecessary treatment and guide decision making if the crack changes.

Oblique supragingival cracks – These cracks only affect the crown of the tooth and do not extend below the gum line. Usually, the affected part of the tooth will eventually break off. Little pain will result, because the tooth pulp (that contains the nerves and vessels) will remain unaffected.

Oblique subgingival cracks – These cracks extend beyond the gum line, and often beyond where the jawbone begins. When a piece breaks off, it will usually remain attached until the dentist removes it. Oblique subgingival cracks are painful and may require a combination of periodontal surgery (to expose the crown), and endodontic treatment to place a crown or other restorative device.

Vertical furcation cracks – These cracks occur when the roots of the tooth separate. This type of crack almost always affects the nerve of the tooth. Because the tooth will not generally separate completely, root canal therapy and a crown can usually save the tooth.

Oblique root cracks – These cracks tend not to affect the surface of the tooth at all. In fact, the damage is only apparent below the gum line and usually below the bone level. Root canal therapy may be possible; depending on how close the fracture is to the tooth surface. However, extraction is almost always the only option after sustaining this classification of fracture with symptoms from the lower root segment.

Vertical root fracture – These cracks occur at the root surface and require extraction. Root canal therapy alleviates the discomfort for a while, but most often, teeth affected by such cracks are eventually extracted because they can not be properly sealed.

How are cracks in the teeth treated?

There are many different types of cracked teeth. Some can only be exposed using X-ray machines, while others are clearly visible to the naked eye. In cases where the pulp is affected, root canal therapy is the most viable treatment option. The pulp, nerves and vessels of the tooth will be removed, and the resulting space will be filled with gutta-percha. A crown or filling will be added to stabilize the tooth and it will continue to function as normal.

When the crack is too severe for the tooth to be saved, the dentist will perform an extraction. There are a number of restorative options in this case, such as bridges, dental implants and partial dentures. All of these structures can restore biting, chewing and speaking functions.

A crown or cap is a covering that encases the entire tooth surface restoring it to its original shape and size. A crown protects and strengthens tooth structure that cannot be restored with fillings or other types of restorations.

Although there are several types of crowns, porcelain or tooth colored crowns are the most popular, because they resemble your natural teeth. They are highly durable and will last many years, but like most dental restorations, they may eventually need to be replaced. Porcelain crowns are made to match the shape, size, and color of your teeth giving you a natural, long-lasting beautiful smile.

Reasons for crowns:

• Broken or fractured teeth.
• Cosmetic enhancement.
• Decayed teeth.
• Fractured fillings.
• Large fillings.
• Tooth has a root canal.

What does getting a crown involve?

A crown procedure usually requires two appointments. Your first appointment will include taking several highly accurate molds (or impressions) that will be used to create your custom crown. A mold will also be used to create a temporary crown which will stay on your tooth for approximately two weeks until your new crown is fabricated by a dental laboratory.

While the tooth is numb, the dentist will prepare the tooth by removing any decay and shaping the surface to properly fit the crown. Once these details are accomplished, your temporary crown will be placed with temporary cement and your bite will be checked to ensure you are biting properly.

At your second appointment your temporary crown will be removed, the tooth will be cleaned, and your new crown will be carefully placed to ensure the spacing and bite are accurate.

You will be given care instructions and encouraged to have regular dental visits to check your new crown.

A dental bridge is a fixed or non-removable appliance and is an excellent way to replace missing teeth.

There are several types of bridges. You and your dentist will discuss the best options for your particular case. The PFM or PBM is the most popular type and is usually made of porcelain fused to metal. Porcelain fixed bridges are most popular because they resemble your natural teeth. This type of bridge consists to two crowns that go over two anchoring teeth or abutment teeth and are attached to pontics or artificial teeth, filling the dark gap created by one or more missing teeth.

Dental bridges are highly durable and will last many years, however they may need replacement or need to be re-cemented due to normal wear.

Reasons for a fixed bridge:

• Fill space of missing teeth.
• Maintain facial shape.
• Prevent remaining teeth from drifting out of position.
• Restore chewing and speaking ability.
• Restore your smile.
• Upgrade from a removable partial denture to a permanent dental appliance.

What does getting a fixed bridge involve?

Getting a bridge usually requires two or more visits. While the teeth are numb, the two anchoring teeth are prepared by removing a portion of enamel to allow for a crown. Next, a highly accurate impression or mold is made which will be sent to a dental laboratory where the bridge will be fabricated. In addition, a temporary bridge will be made and worn for several weeks until your next appointment.

At the second visit, you permanent bridge will be carefully checked, adjusted, and cemented to achieve a proper fit. Occasionally your dentist may only temporarily cement the bridge, allowing your teeth and tissue time to get used to the new bridge. The new bridge will be permanently cemented at a later time.

You will receive care instructions at the conclusion of your treatment. Proper brushing, flossing and regular dental visits will aid in the life of your new permanent bridge.

Dental implants offer a natural looking replacement for teeth. In addition, implants restore functionality to the jaw, making speaking, eating and chewing easier. Implants help preserve your appearance both in tooth form and bone quantity. Implants are comprised of a screw that is embedded into the bone to which the prosthesis is attached.

Dental implants are artificial roots or a biomedical screws made of titanium that are surgically placed into the upper or lower jaw bone by a dentist. The teeth attached to implants are very natural looking and often enhance or restore a patient’s smile!

When a tooth is lost often there are consequences that are seen in the mouth. They are not limited to but can include aesthetic, alveolar bone loss, decrease in chewing efficiency, collapse of the bite, speech impairment, and unwanted movement of adjacent teeth.

There are three basic ways to replace a missing tooth or teeth, including a fixed dental bridge, dentures both partial and complete, and dental implants.

There are a wide variety of dental implants in the marketplace, but endosseous implants or root form implants have an almost unparalleled success rate. Almost 98% of modern dental implants are fitted successfully and last for a lifetime. Important factors that are often missed is the key of reverse engineering of the implant from the root tip to the cusp tip to handle the forces that will be placed on the loaded restored implant. Sacramento Comprehensive Family Dentistry is involved in every stage of the dental implant so the restoration driven treatment plan can be delivered. We actually help maintain the implant after its been placed so we can monitor and further guarantee the longevity of your dental implant. Be warned implants are not a one time fix and require regular maintenance having implants placed by offices that do not provide avenues or knowledge of maintenance is not recommended and decreases the outcome.

Reasons for dental implants:

• Replace one or more missing teeth without affecting adjacent teeth.
• Resolve joint pain or bite problems caused by teeth shifting into missing tooth space.
• Restore a patient’s confident smile.
• Restore chewing, speech, and digestion.
• Restore or enhance facial tissues.
• Support a bridge or denture, making them more secure and comfortable.

Here are some of the other benefits associated with modern dental implants:

• Better oral health.
• Higher success rate.
• Improved self-esteem.
• Long-lasting results.
• Multiple implants can be placed during a visit.
• Natural-looking implants.
• No adhesives or mess.
• Prevention of bone loss and gum recession.
• Sturdy, functional prosthetic teeth.
• Longevity of the implant does not depend on the health of adjacent teeth.

How are dental implants placed?

The procedure for placing dental implants is similar to many other implant procedures. First the treatment is properly planned from a diagnosis. The dental implant is usually performed in two short visits, the first visit being typically an hour in length and the second taking around thirty minutes. The final restoration can often be delivered on the third appointment.

The stages of dental implant placement vary widely dependent on a few key factors; systemic medical conditions, amount of bone, density of bone, implant sight requiring bone or soft tissue augmentation, and initial stability of the implant achieved during implant placement. Implant placement and restoration can follow protocols including but not limited to immediate placement, delayed placement, immediate loading, and delayed loading.

Here is a typical step-by-step process for the first stage of a dental implant placement:

• An incision will be made in the gum tissue to expose the jawbone.
• A tiny hole will be drilled into the jawbone to insert the implant into.
• The implant will be screwed into the designated position.
• A small temporary cap is placed to cover the implant, and the site is sutured closed.
• After approximately 3 months the implant is restored with an amazing tooth like restoration
• When the healing process is complete, the new dental prosthesis (usually a crown) will be created from bite impressions. A tiny screw will be used to secure the prosthesis onto the abutment. Any necessary adjustments will be made to ensure the prosthesis is comfortable, and appropriately loaded.

The process of getting implants requires a number of visits over several months. Although the procedure is time consuming and more costly than other procedures it is the most advanced and successful form of restorative dentistry.

Dental implants are very strong, stable, and durable and will last many years, but on occasion, they will have to be re-tightened or replaced due to normal wear on the crown portion of the dental implant

You will receive care instructions when your treatment is completed. Good oral hygiene, eating habits, and regular dental visits will aid in the life of your new implant.

A denture is a removable dental appliance replacement for missing teeth and surrounding tissue. They are made to closely resemble your natural teeth and enhance your smile.

There are two types of dentures – complete and partial dentures. Complete dentures are used when all of the teeth are missing, while partial dentures are used when some natural teeth remain. A Partial denture not only fills in the spaces created by missing teeth, it prevents other teeth from shifting.

A Complete denture may be either conventional or immediate. A conventional type is made after the teeth have been removed and the gum tissue has healed, usually taking 4 to 6 weeks. During this time the patient will go without teeth. Immediate dentures are made in advance and immediately placed after the teeth are removed, thus preventing the patient from having to be without teeth during the healing process. Once the tissues shrink and heal, adjustments will have to be made.

Dentures are very durable appliances and will last many years, but may have to be remade, repaired, or readjusted due to normal wear. Implant supported dentures is the modern solution to an old problem.

Reasons for dentures:

• Complete Denture – Loss of all teeth in an arch.
• Partial Denture – Loss of several teeth in an arch.
• Enhancing smile and facial tissues.
• Improving chewing, speech, and digestion.

What does getting dentures involve?

The process of getting dentures requires several appointments, usually over several weeks. Highly accurate impressions (molds) and measurements are taken and used to create your custom denture. Several “try-in” appointments may be necessary to ensure proper shape, color, and fit. At the final appointment, your dentist will precisely adjust and place the completed denture, ensuring a natural and comfortable fit.

It is normal to experience increased saliva flow, some soreness, and possible speech and chewing difficulty, however this will subside as your muscles and tissues get used to the new dentures.

You will be given care instructions for your new dentures. Proper cleaning of your new dental appliance, good oral hygiene, and regular dental visits will aid in the life of your new dentures.

An inlay restoration is a custom made filling made of composite material, gold, or tooth-colored porcelain. Porcelain inlays are popular because they resemble your natural tooth. A porcelain inlay is made by a professional dental laboratory and is permanently cemented into the tooth by your dentist.

Inlays can be utilized to conservatively repair teeth that have large defective fillings or have been damaged by decay or trauma. Inlays are an ideal alternative to conventional silver and composite fillings. Also, they are more conservative than crowns because less tooth structure is removed in the preparation of inlays.

As with most dental restorations, inlays are not always permanent and may someday require replacement. They are highly durable and will last many years, giving you a beautiful long lasting smile.

Reasons for inlay restorations:

• Broken or fractured enamel
• Cosmetic enhancement
• Decayed teeth
• Fractured fillings
• Large fillings

What does getting an inlay involve?

An inlay procedure usually requires two appointments. Your first appointment will include taking several highly accurate impressions (molds) that will be used to create your custom inlay and a temporary restoration.

While the tooth is numb, the dentist will remove any decay and/or old filling materials. The space will then be thoroughly cleaned and carefully prepared, shaping the surface to properly fit an inlay restoration. A temporary filling will be applied to protect the tooth while your inlay is made by a dental laboratory.

At your second appointment your new inlay will be carefully and precisely cemented into place. A few adjustments may be necessary to ensure a proper fit and that your bite is comfortable.

You will receive care instruction at the conclusion of your treatment. Good oral hygiene practices and regular dental visits will aid in the life of your new inlay.

An onlay restoration is a custom made filling made of composite material, gold, or tooth-colored porcelain. Porcelain onlays are popular because they resemble your natural tooth. An onlay is sometimes also referred to as a partial crown. Porcelain onlays are made by a professional dental laboratory and is permanently cemented onto the tooth by your dentist.

Onlays can be utilized to conservatively repair teeth that have large defective fillings or have been damaged by decay or trauma. Onlays are an ideal alternative to crowns because less tooth structure is removed in the preparation of onlays. Onlays are essentially identical to inlays with the exception that one or more of the chewing cusps have also been affected and need to be included in the restoration.

As with most dental restorations, onlays are not always permanent and may someday require replacement. They are highly durable and will last many years, giving you a beautiful long lasting smile.

Reasons for onlay restorations:

• Broken or fractured cusp
• Cosmetic enhancement
• Decayed teeth
• Fractured fillings
• Large fillings

What does getting an onlay involve?

An onlay procedure usually requires two appointments. Your first appointment will include taking several highly accurate impressions (molds) that will be used to create your custom onlay and a temporary restoration.

While the tooth is numb, the dentist will remove any decay and/or old filling materials. The space will then be thoroughly cleaned and carefully prepared, shaping the surface to properly fit an onlay restoration. A temporary filling will be applied to protect the tooth while your onlay is made by a dental laboratory.

At your second appointment, your new onlay will be carefully and precisely cemented into place. A few adjustments may be necessary to ensure a proper fit and that your bite is comfortable.

You will receive care instruction at the conclusion of your treatment. Good oral hygiene practices, a proper diet, and regular dental visits will aid in the life of your new onlay.

Historically, a tooth with a diseased nerve would be removed immediately, but Dentists are now able to save the natural tooth in most cases. Generally, extracting the inner tooth structures, then sealing the resulting gap with a crown restores health and functionality to damaged teeth.

Having a root canal done on a tooth is the treatment of choice to save a tooth that otherwise would die and have to be removed. Many patients believe that removing a tooth that has problems is the solution, but what is not realized is that extracting or pulling a tooth will ultimately be more costly and cause significant problems for adjacent teeth. Sometimes the cost and probable outcome of restoring a tooth is indicative of extracting the tooth.

Signs and symptoms of endodontic problems:

• Inflammation and tenderness in the gums.
• An abscess or pimple on the gums.
• Teeth that are sensitive to hot and cold foods.
• Tenderness when chewing and biting.
• Tooth discoloration.
• Unexplained pain in the nearby lymph nodes.

Reasons for endodontic treatment:

Endodontic treatment or root canal therapy (RCT) is performed to save the natural tooth. In spite of the many advanced restorations available, there is no substitute for healthy, natural teeth.

Here are some of the main causes of inner tooth damage:

Bacterial infections – Oral bacteria is the most common cause of endodontic problems. Bacteria invade the tooth pulp through the physical breakdown of the teeth caused by tooth decay or injury. The resulting inflammation and bacterial infection jeopardize the affected tooth and may cause an abscess to form.

Fractures and chips – When a large part of the surface or crown of the tooth has become completely detached, root canal therapy may be required. The removal of the crown portion leaves the pulp exposed, which can be debilitating painful and problematic.

Injuries – Injuries to the teeth can be caused by a direct or indirect blow to the mouth area. Some injuries cause a tooth to become luxated, or dislodged from its socket. Root canal therapy is often needed after the dentist has successfully stabilized the injured tooth.

Removals – If a tooth has been knocked clean out of the socket, it is important to rinse it and place it back into the socket as quickly as possible. If this is impossible, place the tooth in special dental solution or in milk. These steps will keep the inner mechanisms of the tooth moist and alive while emergency dental treatment is sought. The tooth will be affixed in its socket using a special splint, and the dentist will then perform root canal therapy to save the tooth.

What does an endodontic procedure involve?

Root canal therapy usually takes between one and three visits to complete. Complete X-rays of the teeth will be taken and examined before the treatment begins.

Initially, a local anesthetic will be administered, and a dental dam (protective sheet) will be placed to ensure that the surgical area remains free of saliva during the treatment. An opening will be created in the surface of the tooth, and the pulp will be completely removed using small handheld instruments.

The space will now be shaped, cleaned and filled with gutta-percha. Gutta-percha is a biocompatible material that is somewhat similar to rubber. Cement will be applied on top to ensure that the root canals are completely sealed off. Usually, a temporary filling will be placed to restore functionality to the tooth prior to the permanent restoration procedure. During the final visit, a permanent restoration or crown will be placed.

Root canal treatment is highly successful and usually lasts a lifetime, although on occasion, a tooth will have to be retreated due to new infections. The coronal seal is paramount to the outcome of the treatment. If a permanent restorative material is not placed the RCT will be in vain.

You will be given care instructions after each appointment. Good oral hygiene practices and regular dental visits will aid in the life of your root canal treatment.

In rare cases, root canal therapy fails to work as expected. The treated tooth might not heal properly or a patient might experience post-surgical complications that jeopardize the tooth. Root canal retreatment involves the removal of the previous crown and packing material, the cleansing of the root canals, and repacking and re-crowning of the tooth. In short, root canal retreatment is almost identical to the original procedure, aside from the structural removal. The success rate for a root canal retreatment runs at around 75%. Sometimes the cost and possible outcomes will dictate giving up on saving the tooth and having it removed. Other cases will require that the tooth have the end portion removed in a surgical procedure called an apicoectomy or root amputation.

Root canal treatments and retreatments are a better alternative than extraction for most individuals. If a tooth has good bone support, a solid surface and healthy gums beneath it, it stands a good chance of being saved. Opting for root canal retreatment can be far less expensive than the alternatives. Dental implants, extensive bridgework and the creation of aesthetically pleasing prosthetic teeth cost far more than working with the natural tooth. They also require maintenance and feel less natural than a “real” tooth but should always be carefully considered with the multifactorial problem list.

Why is root canal retreatment required?

Though the prospect of more endodontic surgery might not be pleasant, root canal retreatment is fairly simple. In general, the whole treatment can be completed in 1-3 visits.

There are a number of reasons why root canal therapy unexpectedly fails, including:

• Cracked crown leaking filling material.
• Curved or narrow canals not treated during the original procedure.
• Delay in the placement of restorative devices following the procedure.
• New decay to the tooth.
• New fracture in the treated tooth.
• Saliva entering the restorative structure.
• Undetected complex canal structures.

What does root canal retreatment involve?

On the day of the retreatment procedure a local anesthetic will be administered, unless another type of anesthetic has been selected. The affected tooth is isolated with a rubber dam. The dam protects the tooth during treatment from bacteria and saliva. The amount the dentist can do within a single appointment will much depend on the amount of inflammation present, and the complexity of the treatment.

The first step in a root canal retreatment is to gain access to the inner tooth. If a crown and post have been placed, these will be removed.

Next, filling material and obstructions that block the root canals will be removed. This removal is conducted using an ultrasonic handpiece. The advantage of using this tool is that any unwanted material is vibrated loose. Tiny instruments will then be used to clean and reshape the root canals. X-rays may be taken to ensure that the roots are thoroughly clean. If this part of the treatment proves to be complex, medicated packing material will be applied, and the rest of the cleansing procedure will be done at the next visit.

When the dentist is confident that the root canals are completely clean, gutta-percha is used to pack the space. This rubbery material seals the canals to prevent bacterial invasion. Finally, a temporary crown or filling is applied to tooth. At a later date, the color-matched permanent crown will be placed.