Restorative & Materials · single question

A patient presents with a lingual cusp fracture of a mandibular premolar. What is the FIRST clinical factor to evaluate?

  1. Crown-to-root ratio
  2. Percussion sensitivity
  3. Restorability of the remaining tooth structure
  4. Pulp vitality
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Correct answer: C. Restorability of the remaining tooth structure

Restorability must be assessed first — it determines whether further treatment is warranted. If the tooth is not restorable, other tests do not change the treatment plan.
  • A. Crown-to-root ratio is evaluated during treatment planning for crown or post placement, after restorability has been established.
  • B. Percussion sensitivity informs endodontic planning but restorability is evaluated first in treatment sequencing.
  • C. CORRECT. Restorability assessment is the first priority. The tooth must be determinable as retainable before any other diagnostic tests influence the treatment plan.
  • D. Pulp vitality is important but secondary — if the tooth cannot be restored regardless, vitality results would not change the plan.

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