Cracked Central Incisor Bridge Abutment: 15 year Recall Exam

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Terry Pannkuk, DDS, MScD – Instructional, Complications: Advanced Management, Fractured Roots, Recall Observations

All cracks do not propagate

Patient: 71 year old male (time of recall exam) with controlled hypertension

Chief Complaint: "swelling”

Dental History: The patient previously had a three unit bridge made to replace the maxillary left lateral incisor (Tooth #’s 9-11). The patient reported recent swelling around the maxillary left central incisor (Tooth #9) and was referred to the author by his dentist.

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Commenting Guidelines Please make scholarly cited references or expert opinions suitable for publication. The comments can either be "pro" or "con" with references to the treatment philosophy. We encourage objectivity and detailed demonstration of knowledge/literature.

Linda Ricks commented 7 years ago.

A tooth with a crown root fracture, must have enough coronal tooth structure to establish a ferrule for the crown or abutment and ensure closed margins and to prevent coronal leakage. A previous history of trauma could be an etiology for a crown root fracture. Fractures can be verified by transillumation under crowns or abutments in cracked teeth.

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