Fixed Pros Cases
Case 1 - Fixed pros and Endo
CC:
Patient 30 years old, attended as an emergency regarding pain on 36 (deep carious lesion - Irreversible pulpitis). She also had broken tooth (35 - already RCT) and unfinished RCT on 14. She was concerned about aesthetic of her teeth especially 34 (dark shade) and wanted to do tooth whitening.
Treatment:
0- Emergency: 36 extirpation and temporary resto + 35 caries removal and temp resto
1- 36 RCT (4 canals)
2- Retreatment of 35 + referred to Periodontist for crown lengthening
3- RCT of 14 (2 canals)
4- Removing the restoration of already root treated 34 (to assess the remaining tooth structure and remove the old amalgam -core material underneath the old composite). Tooth restored back with luxacore. This, temporarily addressed patient's concern about dark shade until she received definitive restoration later on.
5- Tooth whitening: First whitening tray provided to patient to be used before crown shade selection. Patient was informed new trays will be required after final treatment.
6- Indirect post and core insertion on 34
7- PFM Crowns prep - impression and insertion for 34, 35, 36
8- Referred patient for upper arch tooth alignment to Orthodontist
Before Treatment
PA's Before Treatment
Before Treatment
Case 2 - Fixed pros and Endo
CC:
Patient attended as an emergency with pain on 37. (secondary caries with periapical abscess)
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Treatment:
0- Emergency : extirpation of 37 and temporary resto
1- RCT on 37
2- Gold crown prep + Impression + insertion on 37
3- Referred to implantology for 36 implant assessment and consult
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Case 3 - Fixed pros and Endo
CC:
Patient attended as an emergency with pain on 46. Secondary caries with periapical abscess.
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Treatment:
0- Emergency : extirpation and temporization with Fuji II
1- Root canal treatment of 46
2- Gold crown prep, impression and insertion after healing
Radiograph of 46 before and after root canal treatment
Gold crown inserted on 46
Radiograph of 46 before and after root canal treatment