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FAQs -> orthodontics


question (id # 1819)


I'm looking for a dentist in the Uk who is familiar with re opening extraction spaces and is familiar with the work of http://www.facefocused.com/ReOpen.html.

Many thanks,

Nick

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question (id # 1815)


My daughter who is 15 next month broke one of her adult teeth at the front of her lower set over 4 years ago. The dentist offered to put build in up to make the rest but as it was a straight horizontal break it would probably just fall off. As she was not conscious of how it looked she chose not to have it done. A couple of days ago she has a fixed brace fitted, was experiencing pain but we thought that it was normal until today she has noticed that the tooth which has always been shorter has been 'pulled' up and the broken edge is now flush with the other teeth. My concern is that she says it feels like it is being pulled out? could it be that the new orthodontist hasn't noticed that it was broken or it this normal to move a damaged tooth to such a degree. My daughter is very anxious that the tooth will end up dying as she says it feels like it literally being pulled out and she will be left with a permanent hole. Looking at the tooth it looks a different colour which I don't remember it being like this before the brace was fitted. Your speedy response would be appreciated so that if there is a problem it can be rectified immediately without any further damage caused to this permanently damaged tooth. I have provided my telephone number should you kindly wish to contact me in that fashion. I see I can attach photos however she is currently sleeping but can provide this in the morning or we could talk via skype so that you can view it youself.Thank you.

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question (id # 1758)


hi i have both my upper first molars taken out years ago, i realised my front teeth taking all the pressure and started to feel tender. my upper second molars are not occluding as they are facing buccally. the restorative dentist placed minimal prep bridges on both sides to open up my bite. during the impreession taking my jaw slid on the bite registration and the dentist said that it would be fine. when they placed the bridges i had to come back four times to have high spots shaved down. now they have disharged me bite my bite does not feel even and still feel my front teeth touching sometimes when i bite. ive had enough and i want to take the bridges out after having them on for nearly 2 months and still not adjusted to them.
i have spoken to a few dentists that i know and they said the dentist at the hospital should of put braces on so that they could make the the upper second molars move to occlude as they are facing buccally, but they are not specialised in orthodontics so i would need to speak to one.
im not sure if i can get this on the NHS or at the hospital.
my front teeth are slightly mobile due to the force.
would appreciate some advice.

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question (id # 1753)


My son 15 year old has a tooth still up in his gum,his fang sorry don't know the real name. He has a milk tooth still in place below it. He has had an appointment at the nhs orthodontist who has said he needs to go in for surgery and have the tooth in his gum removed, the milk tooth and another tooth on the other side and have a brace because his teeth are all pushing forward and he he has an over bite. The orthodontist also suggested removing the baby tooth and pulling the other tooth down with a chain, but decided against it and said the extraction of the tooth would be easier. I would like to know how successful would the proceedure of pulling the tooth down be and should I be pushing for this treatment rather than three teeth being extracted? Also if I was to take him somewhere else for a second opinion would it have to be a dental hospital rather than a dentist.

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question (id # 1736)


Hi

I had 2 teeth extracted and my upper teeth pushed back when I was younger to correct an overbite. My teeth are now too far back in my mouth and are hardly visable when I smile, giving me a sunken profile. Is it possible to reverse this by reopening the extraction spaces and moving the front teeth forward with braces and an expander ?


Thanks


Simon

question (id # 1705)


Hi, I'm 14 years old. I have always had horrible teeth, not dirty but just all in different places and not straight. Today I went to the dentist to have an x-ray done on my mouth. The dentist told me that I still have 2 more babyteeth coming through (but for some reason, their in the place I recently had 2 taken out) underneath those teeth (inside the gum) I have 2 adult teeth that are trying to push through, unfortunatly, they are pointing in the wrong direction. I also have 2 adult teeth doing the same inside the gum on my top jaw. I need braces fitted so the dentist said he is going to refer me to hospital. I'm petrified. I don't understand what is going to happen, I only went to get an x-ray to see about my braces. What do you think they'll do to me and will it hurt? I'm so scared.

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question (id # 1613)


Hi, I am a 35 year old Male, I was born with a hair lip and cleff pallet, my teeth have never been right and have only recently sought advice as to how to correct my teeth. I made an appointment with my local NHS Dentist to see what treatment they could offer me, after a short consultation I was told that they could take out my 2/3 problem top teeth and leave it at that. There was no offer of any additional treatment and was to leave it at that with a hole the size of two teeth, I'm not quite sure it was the solution I was hoping for. I understand that there would be some extensive work to be done, but am I asking too much to atleast be offered a better solution than a gaping hole? Craig.

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question (id # 1587)


Hello,

I am a 32 year old female,i have had orthodontal treatment done when i was 18 years and the treatment went to a completion but was not religious in wearing the retainers/ removable braces. After a couple of years the teeth came back to normal with gaps around my teeth. lately,few months ago i felt it was very awkward and went to an orthodontist and got the removable braces put back on in November 2011 as i couldnt afford a fixed braces again, it has been 5 months now and i notice the teeth has become straight as i have been wearing them all the time ( 24*7 n day night and while asleep). but there is still some gap between my teeth which havent seemed to have gone away.

P.S i have vistied the orthodontist just in november after tht i havent been since i had some finiancial problems.
please reckon what i need to do.

1. if i keep tightening the removable braces on a regular basis will i get rid of the gap,i dont mind wearing them for 2 years or so...

cheers
preethi

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question (id # 1539)


I am looking for an orthodontist who really understands occlusion and equilibrates occlusion as a finished treatment in the Glos/Wilts area , can you help please

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question (id # 1528)


I have a flipper for my right front tooth and I will be getting braces in a couple weeks, I was wondering if I will have to keep wearing the flipper or will it be removed?

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question (id # 1497)


Hello!
I am very frustrated and confused right now concerning the procedure and outcome from wearing braces. I am congenitally missing my two upper laterals and decided to wear braces to close the gaps. I wore braces for 4.5 years and had them removed in 2008. For some reason, my ortho only closed one gap by moving my canine tooth forward to replace the missing lateral and left the second gap open for a dental implant. When I asked why, she stated that it would “mess” up my bite if they closed both gaps. I wore my flipper to keep the space open until I could afford a dental implant. Well, I went to my local School of Dentistry to get a dental implant and they stated that my gap is 2mm smaller and wouldn’t feel safe doing the procedure. However, everyone was puzzled to why my ortho didn’t close the gap in the first place because when they looked at my mouth and x-ray’s, they concluded that I could have closed both gaps and it would not have “messed” up my bite. I made an appt. to meet with my ortho and requested a copy of the original contract that we signed and they only sent a copy of the financial portion of the contract. I even contacted them on two different occasions and they said that one page financial agreement is my contract. Wouldn’t my contract be a bit longer and more detailed then a one page agreement? I want a copy of my contract to see what we agreed on beforehand. I don’t remember what the contract looked like because I was in jr. high when my parents signed the agreement. I’m just frustrated because this could have been fixed when I wore braces for 4.5 years, but now I either have to wear braces again to open the gap up to get the dental implant or to wear braces to close my gap up. Is this the normal or correct procedure? Am I at liberty to pay for braces if the ortho were indeed able to close both of the gaps during the consultation meeting but decided to only close one gap? Does this happen often? Any comments or suggestions would be great!
Thanks!

question (id # 1469)


Hi there,
I am 21 years old with quite a large overbite and overjet and so am eager to get orthodontics. However because of my age I am quite against normal metal brackets and would much prefer lingual orthodontics. I recently had a consultation with an NHS dentist who told me however that in my case, I would be knocking off the upper brackets with my lower incisors and so the treatment would be unsuitable. I am a dental student myself and so have heard of some methods such as bite opening with occlusal molar build ups, however the dentist I saw was not very informative about this. I was wondering if you could inform me about any various methods that may help, or whether i may acually be completely unsuitable for lingual braces.
Many thanks

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question (id # 1468)


My daughter is currently having her eye teeth moved to fill the space of her laterals, I have heard that she should have had implants? I am in a bit of a panic, is this corect? her teeth have only just started to move and they say they will trim them back in the long run to look like lateral teeth.
Please help!

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question (id # 1429)


I am undergoing orthodontic treatment. Initially, brackets were placed on my teeth and then today a bite opener has been installed below my upper teeth. I cannot talk clearly and am unable to eat.

This is unremovable and have been told that this has to stay in place for 5 months.

Please advise if this is normal and if there are any alternate methods of handling this instead of this bite opener.

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question (id # 1426)


I am undergoing orthodontic treatment. Initially, brackets were place on my teeth. Today, a bite opener was installed below my upper teeth. I cannot talk clearly and am unable to eat.







This is unremovable and I have to have it on for 5 months.







Please advice if this is normal and if there are alternate methods of handling this instead of this bite opener.


question (id # 1403)


Im a 20yr old girl. Last year my dentist gave me crowns for 3 of my front teeth. This was done immediately after removing my 2 year long braces treatment.

Initially, I was happy with my crowns, but slowly front teeth started to relapse outward. Now my crowns look very long and ugly, and have a protruding and a bulky look.

My facial expressions look strained. Unable to close my lips because of protruding front teeth. I have an inter-labial gap of 1 cm and with my upper teeth resting on my lower lip, my crowns and smile look horrible.

1). I feel smaller and thinner crowns can solve my problem. Can my dentist trim the existing crown or is it better to go for a new crown?

2). I heard that frequent replacement of crowns, can put inevitable stress on actual tooth. Is it risky to go new crowns?

3). Can you suggest any alternative solution?

click here to view 7 answer(s)


question (id # 1310)


I have teeth missing at the back of my mouth on both sides.  I am thinking about getting bridges.  Since I had these teeth missing, the gap between my two front teeth seems to be bigger.  Is it possible to move these teeth orthodontically before I have my bridges made?

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question (id # 1278)


Hello I am 38 years old and over the past year I have slowly got a gap in between my front teeth which I have not had before. My dentist said the cause of this is I clench my teeth when I am sleep and so is forcing the top teeth to separate. I have always had good straight teeth (no gaps). This is really worrying me. Could there be another cause for this to happen? I would really appreciate someones advice please...

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question (id # 1268)


Hi, I am 34 years old, I've been told by my orthodontist that my lower jaw needs to be moved forward.I am due to finish my orthotreatment in 2 weeks time. He explained that my options are as follows: heavy duty braces or surgery. I am a bit worried about the surgical option and was wondering if  I could get the same results with orthodontics alone to move my bone to bone relationship.I had not really noticed my chin as a week chin until now after my treatment.  



Thanks in anticipation!!

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question (id # 1267)


I would be very grateful for some advice. I am an adult who has been recommended orthodontic treatment for a bite problem that has been caused by previous dental work. I have had two orthodontic opinions which are offering slightly different approaches and I am now finding it hard to choose which one will best be able to help my bite situation. One is recommending that I begin for the first four months with lower braces only and then get the upper row fitted and the other orthodontist has said that it is important to start with the upper and lower braces at the same time. Would you be able to advise me which approach would be best to go ahead with? Is it standard practice to start only with the lower braces and could it slow the overall treatment time down or would it be best to start with both upper and lower together?

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question (id # 1204)


Hi, I was hoping you help me with telling me if a tooth can be pushed back in to the jaw using orthodontic treatment. I was assaulted a few months back which resulted in losing one of my bottom tooth and brought the other three up from there roots. They feel too high now. They are also sensitive. What can be done? Can they be saved? Root canal or something then braces to push them back in??? Most of all would you think it would be worth it?


worth it?


 

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question (id # 1194)


I would be grateful for some advice. I am currently undergoing orthodontic treatment, and at present am wearing a removable brace with a bite plate which is creating extraction gaps in my upper jaw. Soon my lower jaw will be bonded with a fixed brace (Damon), then about a month later the upper jaw will be done. However, I have a deep overbite and a 5 mm overjet; what options are available to me in terms of appliances or building teeth up in order to stop my upper central incisors from chipping or knocking off the lower brackets?


Thanks for the replies to my question above.  I have some additional questions - to Dr Paul Mandon-Gassman's reply.  I understand that the bite plate I am wearing will be replaced by a fixed brace to my upper dental arch and this will happen about a month after the lower arch is braced.  You mention that a stable incisal relationship may not be established.  Is this common and what would it mean in terms of wearing orthodontic appliances long term; would I have to wear a bite plate for life? 


To Dr Hamish Roberton's reply, my question is:-  Is the dental cement usually described as a molar build-up?  How is this applied?  Is it just a blob of dental cement placed on the top of my molars?  Can it come loose?  Does it have to be taken off at the end of treatment?  The second appliance you describe  - is that a bite turbo?  Are these fixed with glue or dental cement?  I understand they can come off?  It looks to be the most restrictive appliance in terms of my bite.  The bite opener you mentioned - is this fixed to the bracket and has a small leg protruding to stop the teeth meeting?  Can this be fixed to Damon brackets?  many thanks


Thanks Dr Roberton for your 2nd reply.  The reason I asked the questions is that I am currently having difficulty eating.  My upper and lower wisdom teeth now have occlusion (I have 28 teeth, 1st permanent molars were extracted).  However, whilst eating is fine on the right hand side, I am constantly biting my cheek on the left hand side right at the back of my mouth behind the wisdom tooth.  I have spoken to my orthodontist about this and he says that the brain will learn not to do that.  However, I appear to be a slow learner because it is not getting the hang of it.  As a result I have a permanent bloodblister.  I am concerned that this problem may get worse when the lower dental arch is bonded in Jan.  I was wondering what the best solution will be for me as, although I have a 5mm overjet, when the upper dental arch is bonded, I will need some form of bite restriction to avoid chipping my teeeth, as the front teeth will move back into the extraction gaps that have been created by my bite plate.

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question (id # 1145)


I am an adult who has just started orthodontic work. I am currently wearing a bite/kick plate, which has irritated my cheeks causing an ulcer. I have endeavoured to remedy the irritation with dental wax however the wax which is difficult to keep on the bracket has covered my tooth and gone over the gumline. Now the gum which is covered with dental wax is irritated and has started to bleed. Please can you help me?


Feedback from patient:-  Many thanks for the replies - regards Helen


 

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question (id # 620)


I'm an adult and would like to have a brace fitted.  I'm aware roughly of the cost of treatment

I have been referred by my usual dentist to the orthodontist but I found the customer service very bad and am not keen to go back.

I obviously want to find somewhere I'll be comfortable and now I'm wondering if I should 'shop' around to see the variance in costs.

Is this worth it or are all costs for my particular treatment going to be around the same.



Located in Greater Manchester.

Many thanks

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question (id # 581)


I am a 20-year-old girl.  My dentist wants to give me two longer front teeth than I am used to.  What do I do?

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question (id # 569)


Am I too old for it, Ortho that is?

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question (id # 567)


Could I have veneers instead of undergoing orthodontic treatment?

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question (id # 565)


What is Orthodontic treatment?

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question (id # 563)


I really want to look after my teeth and not have crowns but I do not like the look of my teeth.  What could I do?

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question (id # 561)


I really want to look after my teeth and not have crowns but I do not like the look.   I have heard about  INVISILIGHN.  What is it?

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The following questions were not orginally posted in this category, but may be related:

question (id # 1402)


Im a 20yr old girl. Last year my dentist gave me crowns for 3 of my front teeth. This was done immediately after removing 2 year long braces treatment.



Initially, I was happy with my crowns, but slowly front teeth started to relapse outward. As my crowns were fitted just after removing braces, with no retainer given by my dentist, my front teeth relapsed more than ever. Now my crowns look very long and ugly, and have a protruding and a bulky look.



My facial expressions look strained. Unable to close my lips because of protruding front teeth. I have an inter-labial gap of 1 cm and with my upper teeth resting on my lower lip, my crowns and smile look horrible.



1). I feel smaller and thinner crowns can solve my problem. Can my dentist trim the existing crown or is it better to go for a new crown?



2). I heard that frequent replacement of crowns, can put inevitable stress on actual tooth. Is it risky to go new crowns?



3). Can you suggest any alternative solution?


question (id # 1359)


I had part of one of my back tooth come away, went to the dentist who fixed this, but it put pressure on my front teeth, so I went back and he relieved the pressure. He said that because the back filling was around the outside of the tooth as well, it had taken up more space, so he filed in between a couple of other teeth. The pressure went away but then I noticed that my top front teeth has started to move slightly, by this I mean that they sort of clicked together while eating and stuff. I went back, he had a look and said it was not a problem, he filed the back tooth down some more to get more of a gap back and said that the other teeth were moving slightly, annoying as it was, it was ok because they would just right themselves, I had to give it time. It was because of the bunching from the back tooth being a bit larger and my bite had changed causing this problem. I wanted to know how long this could take because some days they don't move at all and others they click together a little. My dentist had a look and said that the teeth have moved slightly but once they are comfortable in their new place they will settle down and not move. He also said that to me it feels like they are moving miles, but in fact it is probably only less than a hair. He pushed on the teeth to see if they had become loose but said they had not and this was normal for them to move slightly while getting used to a new bite. I am sorry if I sound a little confused, I was just wondering how long it would take to stop moving, cos as I said some days they don't move at all and others they do.

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question (id # 1357)


Our 11 year old daughter was assessed by an orthodontist, who has suggested fitting a twin block appliance to encourage the jaw to catch up with the growth of the rest of the mouth. The jaw is 8mm behind the top teeth. Is this appliance really necessary? I have a friend who had it done as a child and claimed that he had neck pain caused by the treatment (this diagnosis was given by an expert in the Alexander Technique" I was told that it teaches the skilful "use of the self": how we move, how we stay still, how we breathe, how we learn, how we organise our awareness and focus of attention and, above all, how we choose our reactions in increasingly demanding situations.

It is a subtle and thoughtful discipline, but essentially practical and problem-solving. The Alexander Technique works through re-establishing the natural relationship between the head, the neck and the back - the "core" of the body that supports the strength of the limbs and which provides the structural environment for breathing and for the internal organs. (Copied from web)



Thank you for your time, I suppose the real question is, is 8mm a concern at 11 years old?

 

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question (id # 1431)


Hello there



My 9 year old son recently finished his removable brace treatment.



We were told by his dentist to leave him with no retainer for one or two weeks to "let his teeth settle into their new position".



The dentist has been away for a further week and now 3 weeks later it seems to me his teeth have moved back to where they were before we started treatment a year ago.



He still has a pronounced gap between his two front incisors.



Is it normal to leave teeth with no retainers and let them settle?



Is it time to cease treatment if his teeth aren't straight?

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question (id # 1321)


I am in my 50,s and have always had a lot of trouble with my teeth. about 8 years ago I had quite a few new crowns, I was really pleased with the results, but my teeth have moved !! is it possible for me to now have a brace fitted. My dentist was really good but has now gone private and I am afraid my check ups have lapsed. I know the treatment would cost quite a bit but am prepared for that as long as I am not pushed into having unnecassary fillings etc just to fill the dentists pockets!

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question (id # 1486)


Hi,My orthadontist has removed the brace after 20 months. Iam unhappy with the result, relativley minor misalianment, but noticable.
More importantly is the orthadontist is soooooo insistant that I go to see a restorative dentist he reccommends.
Ive previously seen 2 other dentist who both quoted me the same treatment & both said the brace needed to go back on the top & upper & lower teeth.
My orthadontist has said before that he wasnt going to remove the brace until Id seen his man,now he has dismissed the opinion of the other 2 dentist, he even contacted this man & made an appointment without telling me first.
The odd thing is when I started treatment he told me 2 or 3 times he knew of no one who did restorative dental treatment, when I called his man, his receptionist told me he reccommended all his patients to him & had done for years! incerdently his man charges £170 just for a consultation!
I really feel the way he is insisting on me using his man, who I suspect is out of my price range anyway, is at best shabby, at worst pretty corrupt.
Please advise me on the way forward, at the moment I would sooner have some type of refund & see a differant orthadontist because I have no faith that my current one is not acting in my best interest.
Thanks for any advice.

click here to view 3 answer(s)


question (id # 1497)


Hello!
I am very frustrated and confused right now concerning the procedure and outcome from wearing braces. I am congenitally missing my two upper laterals and decided to wear braces to close the gaps. I wore braces for 4.5 years and had them removed in 2008. For some reason, my ortho only closed one gap by moving my canine tooth forward to replace the missing lateral and left the second gap open for a dental implant. When I asked why, she stated that it would “mess” up my bite if they closed both gaps. I wore my flipper to keep the space open until I could afford a dental implant. Well, I went to my local School of Dentistry to get a dental implant and they stated that my gap is 2mm smaller and wouldn’t feel safe doing the procedure. However, everyone was puzzled to why my ortho didn’t close the gap in the first place because when they looked at my mouth and x-ray’s, they concluded that I could have closed both gaps and it would not have “messed” up my bite. I made an appt. to meet with my ortho and requested a copy of the original contract that we signed and they only sent a copy of the financial portion of the contract. I even contacted them on two different occasions and they said that one page financial agreement is my contract. Wouldn’t my contract be a bit longer and more detailed then a one page agreement? I want a copy of my contract to see what we agreed on beforehand. I don’t remember what the contract looked like because I was in jr. high when my parents signed the agreement. I’m just frustrated because this could have been fixed when I wore braces for 4.5 years, but now I either have to wear braces again to open the gap up to get the dental implant or to wear braces to close my gap up. Is this the normal or correct procedure? Am I at liberty to pay for braces if the ortho were indeed able to close both of the gaps during the consultation meeting but decided to only close one gap? Does this happen often? Any comments or suggestions would be great!
Thanks!

question (id # 1544)


my 4 year old daughter fell on her front this evening and has fractured her top left front tooth, approx. 2mm below the gumline diagonally down from top right to bottom left of the tooth. I still have the piece of broken tooth and have put it into a cup of milk. She is asleep now (after her usual bedtime routine and gentle tooth brushing) and is not complaining of any pain. What should I do? Our dentist is open on Monday. can I wait until then? Will they have to extract the tooth or as it is a milk tooth can they do something to restore the tooth or even file the sharp edges? I can see the line of white dentine beneath the enamel but no 'pink' pulp. I can see dentine in the broken piece. Thanks

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