Cracked Tooth Syndrome 3.6

Clinical Findings and Diagnosis Clinical examination revealed an old amalgam restoration and enamel–dentin microfractures compatible with structural compromise. Bite test elicited localized pain. Diagnosis: Cracked Tooth Syndrome with pulpal involvement. Treatment Performed 1. Removal of the Existing Restoration and Initial Stabilization Complete removal of the old amalgam restoration. Identification and removal of superficial cracks. Build-up performed using fiber-reinforced flowable composite (everX) to enhance internal reinforcement and stabilize the remaining tooth structure. 2. Endodontic Treatment Canal scouting and glide path establishment. Shaping performed with reciprocating instruments up to size 35/.05. Root canal obturation using a bioceramic sealer (neosealer flo, Avalon biomed). Definitive Restoration Tooth preparation for a full cuspal coverage composite overlay. Fabrication and placement of a high-strength composite overlay to…