Prosthodontics & Occlusion · patient case question
All of the following are indicated to address this case EXCEPT:
Patient case: Fracture of #8 planned for extraction
Scenario: A patient with a FRACTURE of #8; extraction is planned.
Show answer and explanation
Correct answer: C. Making a definitive restoration while the patient is still in orthodontic treatment
- A. A provisional crown is exactly what is indicated during the interim period, maintaining esthetics, function and space.
- B. An implant is a reasonable definitive plan for a fractured non-restorable central incisor — placed after orthodontic movement is complete and, in a growing patient, after skeletal growth has finished.
- C. Correct — this is the EXCEPTION. Definitive restorations are NOT fabricated while active orthodontic treatment is ongoing. Tooth positions, occlusal relationships and the space available are all still changing, so a definitive restoration made now will not fit the final occlusion. PROVISIONALISE during treatment and definitively restore afterwards.
- D. A definitive crown is appropriate once tooth position and occlusion are stable.
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