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In each issue of Inside Dentistry, we’ll test your knowledge with a
question often taken straight from an Inside Dentistry case report or CE course, crafted by a panel of Inside Dentistry’s Editorial Advisory Board members. Submit your best treatment plan and you’ll be entered into a drawing for one year’s worth of free Compendium Continuing Education, courtesy of Inside Dentistry, valued at over $300!
A 62-year-old man presented for routine dentistry with no complaints of sensitivity or other symptoms. Examination revealed that tooth No. 20 was rotated and had drifted distally, leaving an open contact. In addition, tooth No. 20 displayed numerous cracks into the dentin, indicating that the tooth was structurally compromised. The cracks into dentin were a result of the flexing under function of the tooth that had been weakened by a wide occlusal amalgam. A similar condition existed for tooth No. 18; tooth No. 19, according to the patient, had been missing for more than 40 years. (figure 1)
What would your treatment plan be for this patient? Would you restore or replace the teeth in question?
Do you know the answer?
Submit your response to email@example.com by February 5, 2013, subject line, “Oral Exam”. Out of all acceptable submissions, one winner will be randomly selected to receive one year’s worth of free Compendium Continuing Education from CDEWorld.com, courtesy of Inside Dentistry.