#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.
Before
Step 1
All caries removed and root canal completed
Step 2
Gutta Percha removed 7 mm into canal space
Ferrule practically nonexistent after all caries have been removed
Step 3
Greater curve "Wide" in place
Step 4
Greater Curve "wide" cut back for access
Step 5
Contact openings made mesial and distal. Retainer secured with Triad Gel to provide more stability for the setup.
Core sequence:
Step 6
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.
Filtek Placement
Step 7
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.
Labial shaping
Step 8
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
Step 9
#12 blade is excellent tool for shaping interproximal contours.
Final restoration #10
Step 10
Incisal view
Step 11
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.