Prosthodontics & Occlusion · single question
A new patient presents wanting crowns (as shown). What should you do?
Show answer and explanation
Correct answer: B. Refer to a specialist
Refer to a specialist (B). The clinical image shows severely compromised teeth — likely advanced periodontal disease, significant bone loss, failing restorations, or a case requiring complex multidisciplinary treatment. This is beyond routine crown preparation.
• A comprehensive treatment plan must precede any crown fabrication: periodontal assessment, endodontic evaluation, occlusal analysis.
• Placing crowns on periodontally compromised or failing teeth is contraindicated.
• Referral to appropriate specialists (periodontist, oral surgeon, endodontist) ensures proper sequencing:
1. Emergency treatment
2. Disease control (perio, endo, caries)
3. Reassessment
4. Definitive restorative/prosthetic phase
• Fabricating crowns on unhealthy foundations is a fundamental treatment planning error.
• A comprehensive treatment plan must precede any crown fabrication: periodontal assessment, endodontic evaluation, occlusal analysis.
• Placing crowns on periodontally compromised or failing teeth is contraindicated.
• Referral to appropriate specialists (periodontist, oral surgeon, endodontist) ensures proper sequencing:
1. Emergency treatment
2. Disease control (perio, endo, caries)
3. Reassessment
4. Definitive restorative/prosthetic phase
• Fabricating crowns on unhealthy foundations is a fundamental treatment planning error.
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