Prosthodontics & Occlusion · single question

Tooth #30 is restorable but has fractured to the gingival margin (about half the crown lost) and is endodontically treated. What is the best definitive restorative plan?

  1. Post, core build-up, and full-coverage crown (with adequate ferrule)
  2. Amalgam cusp-coverage restoration only
  3. Direct composite without coverage
  4. Extraction and implant only
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Correct answer: A. Post, core build-up, and full-coverage crown (with adequate ferrule)

An endodontically treated posterior tooth with extensive coronal loss requires a post (when needed for core retention), a core build-up, and a full-coverage crown that incorporates a ferrule to protect against fracture.Other options: Amalgam or direct composite without cuspal/full coverage will not protect a structurally compromised endodontically treated tooth; extraction is unnecessary if the tooth is restorable.Key exam takeaway: Endodontically treated posterior tooth with major coronal loss: post (if needed) + core + full crown with ferrule.

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