Case Series
Volume 21 Issue 5 - 2022
A Multidisciplinary Practicable Approach for Rehabilitation of Grossly Mutilated Premolars - Original Case Series
Raji Viola Solomon1*, MS Rangareddy1, Shanti Priya1 and Sumaiya Waheed2
1Professor, Conservative Dentistry and Endodontics, Panineeya Institute of Dental Sciences and Research Centre, Kaloji Narayana Rao University of Health Sciences, Telangana, India
2Second Year Post Graduate Student, Conservative Dentistry and Endodontics, Panineeya Institute of Dental Sciences and Research Centre, Kaloji Narayana Rao University of Health Sciences, Telangana, India
*Corresponding Author: Raji Viola Solomon, Professor, Conservative Dentistry and Endodontics, Panineeya Institute of Dental Sciences and Research Centre, Kaloji Narayana Rao University of Health Sciences, Telangana, India.
Received: February 07, 2022; Published: April 28, 2022




Abstract

Extensive loss of tooth structure due to caries, trauma, previous restoration failures, or even procedures related to endodontic treatment can sometimes pose difficulty in fabrication and retention of full coverage restorations. The substantial loss and weakening of remaining tooth structure often necessitates the placement of post and core to salvage an existing tooth and helps to anchor a dental crown on it. This article describes a series of 3 clinical case reports with interdisciplinary approach combining periodontal, endodontic and prosthetic treatment for the rehabilitation of grossly mutilated/decayed teeth to achieve long term success of therapy. The interdisciplinary treatment plan for esthetic and functional rehabilitation of severely broken down teeth requires crown lengthening procedures (CLP) followed by post and core and full coverage restorations. The crown lengthening procedure is commonly done when an inadequate clinical crown structure is available for the retention of indirect restoration and re-establishment of biologic width space. The cases discussed here have been treated with both electrosurgical and surgical means to avoid any violation of Biologic Width (BW) which in turn leads to chronic gingival inflammation, pain, clinical attachment loss and bone loss.

 

Keywords: Crown Lengthening Procedure; Electrosurgery; Interdisciplinary Approach; Post and Core; Biologic Width

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Citation: Raji Viola Solomon., et al. “A Multidisciplinary Practicable Approach for Rehabilitation of Grossly Mutilated Premolars - Original Case Series”. EC Dental Science 21.5 (2021): 87-98.

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