Endodontics · single question

Tooth with fracture 4mm apical to alveolar crest on sublingual surface, vital, caries exposure. Most appropriate treatment?

  1. Crown lengthening, then core and crown
  2. Root canal treatment alone
  3. Monitor and bleach
  4. Immediate extraction
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Correct answer: A. Crown lengthening, then core and crown

Subcrestal fracture/caries margin with adequate root support: CROWN LENGTHENING (osseous surgery to expose margin and reestablish biologic width) + RCT if needed + core buildup + crown. Extraction not required if adequate root support exists and ferrule can be established after crown lengthening.

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