The restoration of a tooth with fractured cusps and short clinical crown: A case report

Main Article Content

Munlika Anuntasainont
Watcharaporn Kuphasuk

Abstract

A 41-year-old Thai female was presented at the Department of Operative Dentistry, Mahidol University with buccal cusp fracture and severely damaged tooth structure on a right second molar which was a result of previous large restoration and the patient’s parafunctional habit. In this case, crown restoration was indicated. In short clinical crown condition which surgical crown lengthening or orthodontic force eruption are contraindicated, more retention and resistance were increased by nearly parallel walls with additional slot preparation and careful placing of subgingival margin to gain crown height. Full metal crown was selected as it required less occlusal reduction and the resin cement with proper surface treatment was utilized to maximize the retention. After 3-month follow-up, the restoration was in good condition and the patient was satisfied with the result.

Article Details

How to Cite
1.
Anuntasainont M, Kuphasuk W. The restoration of a tooth with fractured cusps and short clinical crown: A case report. M Dent J [Internet]. 2020 Apr. 28 [cited 2024 May 4];40(1):15-22. Available from: https://he02.tci-thaijo.org/index.php/mdentjournal/article/view/223902
Section
Case report

References

Nimako-Boateng J, Owusu-Antwi M, Nortey P. Factors affecting dental diseases presenting at the University of Ghana Hospital. Springerplus. 2016; 5:1709.

Kahler W. The cracked tooth conundrum: terminology, classification, diagnosis, and management. Am J Dent. 2008; 21: 275-82.

Lubisich EB, Hilton TJ, Ferracane J, Northwest P. Cracked teeth: a review of the literature. J Esthet Restor Dent. 2010; 22:158-67.

Lynch CD, McConnell RJ. The cracked tooth syndrome. J Can Dent Assoc. 2002; 68: 470-5.

Mamoun JS, Napoletano D. Cracked tooth diagnosis and treatment: An alternative paradigm. Eur J Dent. 2015; 9: 293-303.

Rivera EM, Walton RE. Longitudinal tooth fractures: findings that contribute to complex endodontic diagnoses. Endod Topics. 2007; 16: 82-111.

Shafiei F, Behroozibakhsh M, Abbasian A, Shahnavazi S. Bond strength of self-adhesive resin cement to base metal alloys having diferent surface treatments. Dent Res J. 2018; 15:63-70.

American Association of Endodontists. Treatment Options for the Compromised Tooth:A Decision Guide. Available from: https://www.aae.org/treatmentoptions

Satterthwaite JD. Indirect restorations on teeth with reduced crown height. Dent Update. 2006; 33: 210-2, 5-6.

Seol H-W, Koak J-Y, Kim S-K, Heo S-J. Full mouth rehabilitation of partially and fully edentulous patient with crown lengthening procedure: a case report. J Adv Prosthodont. 2010; 2: 50-3.

Sharma A, Rahul GR, Poduval ST, Shetty K. Short clinical crowns (SCC) - treatment considerations and techniques. J Clin Exp Dent. 2012; 4: e230-e6.

Amarnath GS, Pandey A, Prasad HA, Hilal M. Comparative Evaluation of Enhancing Retention of Dislodged Crowns Using Preparation Modifications and Luting Cements: An In-Vitro Study. J Int Oral Health. 2015; 7: 47-51.

Christensen GJ. Achieving optimum retention for restorations. J Am Dent Assoc. 2004; 135: 1143-5.

O'Kray H, Marshall TS, Braun TM. Supplementing retention through crown/preparation modification: An in vitro study. J Prosthet Dent. 2012; 107: 186-90.

Zidan O, Ferguson GC. The retention of complete crowns prepared with three different tapers and luted with four different cements. J Prosthet Dent. 2003; 89: 565-71.

Ramzi V, Zeina AK, Carolyn M, Maria L, Nicolaas C. Healing time for final restorative therapy following surgical crown lengthening procedures: A review of related evidence. Clin Adv Periodontics. 2014; 5: 1-26.

Ayush RS, Ruchita V. Crown lengthening vs forced eruption. Orthod J Nepal. 2011; 1: 52-55.

Abreu A, Loza MA, Elias A, Mukhopadhyay S, Looney S, Rueggeberg FA. Tensile bond strength of an adhesive resin cement to different alloys having various surface treatments. J Prosthet Dent. 2009; 101: 107-18.

Ishii T, Koizumi H, Yoneyama T, Tanoue N, Ishikawa Y, Matsumura H. Comparative evaluation of thione and phosphate monomers on bonding gold alloy and Ti-6Al-7Nb alloy with tri-n-butylborane initiated resin. Dent Mater J. 2008; 27: 56-60.