Restorative & Materials · single question

Crown is infra-occluded (submerged below the occlusal plane). What do you do initially? EXCEPT:

  1. Reduce the crown (not indicated initially)
  2. Perform pulp vitality test
  3. Take a periapical X-ray
Show answer and explanation

Correct answer: A. Reduce the crown (not indicated initially)

  • A. Correct (the exception/not indicated). Reducing a crown that is already infra-occluded (below the occlusal plane, not in excess) does not make clinical sense as an initial step, since the crown is not in hyperocclusion.
  • B. Performing a pulp vitality test is a reasonable initial diagnostic step to assess pulpal health/possible cause.
  • C. Taking a periapical radiograph is a reasonable initial diagnostic step to evaluate for ankylosis or other periapical causes of infra-occlusion.

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