A clinical case of restoration of the destroyed crown part of the tooth complicated by changes in the bifurcation area

Abstract

The destruction of the tooth crown should be regarded as the cause leading over time to the disruption of the morphofunctional unity of the dentition and pathological condition of the entire dentoalveolar system. Untimely treatment of defects of hard tooth tissues leads to functional disorganization of the dentoalveolar system. The most eliminated defects are those of crowns of teeth determining the quality of aesthetics, phonetics, functions of biting and chewing. The destruction of the tooth crowns, which do not cause significant disruption of the above functions, are painless and almost asymptomatic. In such cases, deformation of the dentition and occlusion, dysfunction of masticatory muscles and temporomandibular joints as well as the development of pathological changes in periodontium occur slowly. Of great importance are the early diagnosis of pathological reconstruction of dentoalveolar system and the knowledge of pathogenesis of possible complications after the extraction of the teeth that determine the indications for prophylactic orthopedic dental treatment. The article presents a clinical case of restoration of destructed tooth crown 3.6 complicated by changes in bifurcation area. The patient underwent coronary-radicular separation with the use of cast metal cores, which allowed restoration of the sufficient size of the stump, function and anatomical shape of the tooth and hence the unity of dental arch.