A case report of crown prosthetic treatment of a vital maxillary premolar with horizontal fracture in the cervical region

Abstract

Patient: A 52-year-old woman presented with masticatory difficulty and esthetic concerns due to a coronal fracture of the maxillary left first premolar. The remaining tooth structure on both mesial and distal aspects was subgingival but exhibited vitality. Orthodontic extrusion and a crown lengthening procedure were performed to obtain a ferrule, followed by crown restoration with the pulp preserved.

Discussion: Electric pulp tests were performed until final restoration to assess pulp preservation. The occlusal scheme during lateral excursion was modified to a group function including the canine. These treatments are considered to have reduced the risk of further fracture.

Conclusion: By preserving pulp vitality, performing appropriate preprosthetic procedures, and adjusting the lateral occlusal scheme, a favorable clinical outcome was achieved in restoring a coronal-fractured tooth.