restorability Flashcards
contraindications
1) root crack or fracture
2) defect in tooth compromizes biologic environment
3) furcation involvement with caries
4) hopeless periodontitis
5) rampant caries
periodontal factors
1) biological width
2) anterior vs posterior teeth
3) sulcus depth vs biological width
4) violation of bio width
bio width
1) 2 mm periodontium from bone level to the top of the sulcus
crown lengthening
1) to establish a ferrule
2) a favorable bio width
3) esthetic or functional
4) better crown to root ratio
5) dark triangle visible
6) 6-8 week healing
- wait 3-6 month before restoration
ferrule facts
1) band that circles the external dimensions of the tooth
2) about 2 mm on natural tooth
3) axial wall must be parallel and minimum of 1 mm
4) the longer the ferrule the better
- can increase fracture due to deficiency on lingual
endo restorative surface
1) loss of sound tooth structure
2) more natural tooth the better
occlusal factors
1) where the tooth is located, it can affect the occlusal force
2) why second molars are more likely to fail
3) absence of proximal contacts
patient factors
1) age
2) tolerance
3) medical status
3) systemic conditions
4) general attitude
5) financials
6) patient preference
clinician factors
1) gender
2) specialist or GP
factors influencing vertical root fracture
1) prevalence is much greater in endo teeth
2) loss of structural integrity
3-2-1 rule
1) 3 mm bio width
2) 2 mm ferrule
3) 1 mm dentin width at crown margin for posterior endo teeth