Endodontics · single question

What is the best initial treatment for an uncomplicated crown fracture (Ellis Class II, no pulp exposure) in a permanent central incisor?

  1. Composite resin restoration
  2. Porcelain veneer
  3. Full ceramic crown
  4. Porcelain-fused-to-metal crown
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Correct answer: A. Composite resin restoration

For an uncomplicated crown fracture (enamel and dentin involved, pulp not exposed), the immediate and conservative treatment of choice is direct composite resin restoration. Composite resin bonds adhesively to tooth structure, restores form and esthetics, and preserves maximum tooth structure. Crowns (porcelain or PFM) are inappropriate as immediate treatment for young patients with an uncomplicated fracture because they require significant additional tooth reduction. Veneers are an option later but not the first choice for acute fractures.

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