Nathan Wong I live in a college town so I see a lot of college students who end up having a bit too much fun on a Friday night and experience dental trauma. This patient presented with crown fractures of #8 and #9 with the pulp of #8 evident but not obviously exposed and #9 pinpoint pulp exposure.
Of course, she is about to head home for summer break so I won't be able to do any follow up for the next ~3 months.
I used a bioceramic for a pulp cap of #9 and then I prepared the teeth for crowns as conservatively as possible (especially on the lingual leaving the cingulum intact) and milled crowns out of Empress Multi to be used as provisionals. My rationale for cementing these as provisionals rather than definitively is in case either of the teeth become discolored or need RCT.
I plan to see her back in the Fall to evaluate and proceed with the final restorations.
Would anyone do this differently if they were in my shoes?
