Restoration of endodontically treated lower right 1st molar.
Posted on 10.21.2012 04:45 PM By Hamad Kayani In Endodontics
A 47 year old female presented with endodontically treated lower right 1st molar for definitive restoration. Patient is diabetic and did report fluctuating blood glucose levels at times.
Possible treatment options:
Full coverage crown. ( concern - distal crown margin would be located subgingival and encroach on the biological width.
Crown lengthening followed by full coverage crown. ( concern - further bone removal and apical location of gingival margin may cause sensitivity in the adjacent vital tooth)
Gold onlay. ( concern - distal margin)
Resin Composite Onlay technique with open sandwich- Occlusal surface preparation for onlay followed by removal of the amalgam core. Subgingival portion built up with RMGI followed by direct resin incremental buildup to full contour.
Any suggestions?? Your advice will be highly appreciated.