#7 broke off near the gingiva. Ferrule for a crown would be limited. I felt the best chance for success would be a direct composite buildup. Activa is very strong, bonds well to tooth and composite, quick and easy to place and is bioactive. I believe these properities make it an excellent core material.
All caries removed and root canal completed
Gutta Percha removed 7 mm into canal space
Ferrule practically nonexistent after all caries have been removed
Greater curve "Wide" in place
Greater Curve "wide" cut back for access
Contact openings made mesial and distal. Retainer secured with Triad Gel to provide more stability for the setup.
Clean and Boost (Apex Dental)
Consepsis (Ultra Dent)
Prelude SE (Danville)
Ribbond stuffed longitudinally into the A3 Activa (Pulpdent)
Activa with its' Ribbond Core will be the restorative for the lingual 1/2 of the tooth.
At the cervical 1/3 A3 Filtek Body (3M) is tapered toward the incisal. A2 Filtek Body covers the incisal 2/3rd's. Both Filtek's were placed using the snowplow technique.
Prior to band removal I do most of the labial shaping with the band left in place. This incisal view is critical for establishing proper labial contours and line angles.
Shaping interproximal contours
#12 blade is excellent tool for shaping interproximal contours.
Final restoration #10
An important final look before releasing patient.
Over the years I have had a lot of success with similar cases. However, I never fail to share with my patient an extensive CYA statement about long term prognosis.