43 year old male with a lingual fracture

December 11, 2008 2:23 pm Published by

 

43 year old male a broken upper right tooth. The patient was initially seen two days prior as an emergency. Intraoral revealed tooth #3 was fractured lingually. Previously the patient had had root canal therapy on #3 and had a composite MOD restoration.

 

 fractured toothdental treatment for a fractured toothdental treatment for a fractured tooth

 

Nitrous oxide delivered – 1:3 (liter nitrous:liter oxygen) for 1 hr. Local anesthesia ½ carpule lido 2% Hcl Epi 1:100,000 locally. Lingual portion of tooth #3 extracted without complications.

 

dental treatment for a fractured toothdental treatment for a fractured tooth 

 

The remainder of #3 was prepared for a crown and temporized. The patient will return for root canal re-treatment at the next visit.  Subsequent visits will include conservative crown lengthening, a cast gold post and core and fabrication of a crown. 

 

N.D., New York University College of Dentistry 

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This post was written by Dr. Jeffrey Dorfman