Hi everyone ,
Patient 25year came to my clinic with sever pain ,another dentist try do do access opening before two hour and the pain still continues.
after temporary filling removal
i do:
IDS &DEM immediately
Root canal treatment
AS you can see we have two missing cusp
the patient refused indirect restoration due to financial effect.
even with direct restoration make your efforts
cusp building free hand technique ,bioclear band
ever x to mimic dentin effect
then composite with pick up technique
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