“ saving private premolar ! “
Patient attended to the clinic seeking for saving his tooth no. 35
The tooth with large defective amalgam restoration ,
After removing the old restoration,
the tooth was dying ! And the margin level below the bone level!
Patient refused the extraction and insist to save the tooth !
According to the conventional school, the tooth is very difficult and need at least 2 mm feruule all around to save it and cover it with indirect restoration.
But with Biomimetic revolution, and the power of adhesive dentistry , the case became relatively easy and restorable!
Treatment plan was :
📌 Remove the old defective filling from tooth n.35 and also no.36 (overhanged!).
📌 surgical crown lengthening.
📌 DME confirmed with peri apical radiograph to ensure optimal seal .
📌 Re RCT for tooth no.35 .
📌 IDS with se bond from kurrary and resin coat
📌 pulp chamber filled with ever x posterior from GC to build macro core .
📌preparation and digital scanning
📌 cementation done with apx heated composite
Fractured premolar with defective amalgam restoration and contact of both premolar and 1st molar .
Remove the old defective filling from tooth n.35 and also no.36 (overhanged!).
DME confirmed with peri apical radiograph to ensure optimal seal .
Now ready for endodontic re treatment
Healing after surgical crown lengthening
Isolation
Cementation with heated apx composite
Cementation of the other tooth
Final situation
Lateral view
Before and after
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