A new patient presented to the office for a limited exam. Her chief concern was that she lost her crown on tooth #11. Her dentist advised her to get the tooth extracted and get an implant. She was not ready for an extraction and came in for a 2nd opinion
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We took some limited X-rays and rightly so the tooth was fractured at the gum line with very limited tooth structure left above the gum line. I echoed what her dentist suggested and advised extraction and implant for best long term prognosis. The patient again resisted to the idea of an extraction and asked if she had any other options. There was about 1- 1.5 mm of ferrule on the lingual so I suggested the option of a post and core and crown with guarded prognosis and no guarantee on how long this crown would last. When doing treatment plans like these it is very important that expectations are set with the patient. Pt was well informed that if this crown fails within a year no refund will be given but if the patient was willing to move forward with extraction and tooth replacement (implant / bridge ) we would credit the treatment cost towards future treatment. The patient was extremely pleased with the option and the security of future treatment.
We put a Para Post and did a build up around it. A crown was designed with the Cerec Omnicam and milled with Triluxe Forte
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However we still needed some additional staining to obtain the chroma of the adjacent teeth. Total treatment time was 1 hour and 15 minutes.
The patent was very happy with the final result and has already referred 2 new patients to our practice.
How would you have handled this case?
