A 45-year-old patient presented with a previously endodontically treated tooth that had fractured. The adjacent tooth had an old amalgam restoration and was sensitive to cold stimuli. After clinical examination and radiographic assessment, it was determined that the affected tooth could be preserved(UL5). The adjacent tooth required replacement of the existing restoration due to underlying caries. The treatment plan was explained to the patient.
Treatment was initiated with the upper left first premolar (UL4). The old restoration was removed, revealing a crack associated with the previous filling. and the tooth was restored.
Subsequently, the adjacent tooth was cleaned, caries were removed, and the margins were elevated . The tooth was then prepared for root canal retreatment. After completing the endodontic procedure, the tooth was sealed and prepared for an indirect laboratory restoration. An impression was taken and sent to the laboratory.
Once the crown was returned from the laboratory, its fit was checked. Rubber dam isolation was applied, the tooth surface was prepared, and the crown was adhesively cemented.
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