Management of a Subgingival Fracture

Terry Pannkuk, DDS, MScD Clinical Endodontic Technique Instruction, Access, Complications: Advanced Management, Difficult Isolation

Modificatiion of a rubber dam clamp simplifies isolation and crown-lengthening of a subgingival defect

Patient: 60 Year-Old Male with Hypertension and Hypothyroidism

Chief Complaint: Cold and biting sensitivity (maxillary posterior left area)

Dental History: The patient started developing symptoms after a partial coverage ceramic onlay (Tooth #14) had been placed 6 month prior to the examination with the author. The patient reported that he wore a night guard.

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