The Exploratory Endodontic Access: Cracked Bicuspid

Terry Pannkuk, DDS, MScD Clinical Endodontic Technique Instruction, Access, Complications: Advanced Management, Fractured Roots

Learn how to definitively assess the prognosis of a cracked tooth

In this demonstration a maxillary second bicuspid was referred to the author because the patient was having discomfort to temperature and pressure which was localized to a maxillary second bicuspid. The referring dentist noted an old marginated amalgam restoration with crack lines in the remaining natural tooth structure. A crown-root fracture was suspected.

The question was not whether there was pulpal involvement; there was. The important question was whether the tooth was treatable. A systematic and thorough approach to fracture exploration is shown in the image series highlighting the following steps:

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