Advised on cause of pain, advised on options:
1. Adjust fill - may or may not settle down, if pain completely resolves, that's good
2. If pain doesn't completely resolve, partially remove fill and investigate for fracture and remove, may fix problem, or make worse
3. If pain worsens or doesn't resolve after partially removing fill, RCT
Pt happy to proceed with adjustment today, pt understands all the outcomes
Advised to contact for emergency if pain worsens, may need extirpation if pt returns and clear irreversible pulpitis
Or partial fill removal and GIC temp if investigating
Advised on missing UR6, advised on options:
1. Leave space - may or may not drift, if bite stays stable long-term, that's acceptable
2. If wanting to replace, implant and crown, needs bone, 3–6 months, surgical risks, may fail later
3. If not suitable for implant or wanting faster, bridge, involves prepping adjacent teeth
Pt happy to proceed with CBCT today, pt understands all the outcomes
Advised to contact for emergency if swelling or fever after socket heals, may need review if pt returns with infection
Or leave and monitor if still deciding
Advised on cracked LL6, advised on options:
1. Direct composite - may or may not last, if remaining tooth holds up, that's acceptable
2. If wanting cuspal coverage, onlay, preserves more tooth, bonded, may convert to crown if enamel short
3. If crack extends or wanting most predictable, full coverage crown, more prep
Pt happy to proceed with onlay today, pt understands all the outcomes
Advised to contact for emergency if fragment comes off or pain on biting, may need crown if pt returns and insufficient enamel
Or temp coverage if waiting for the lab
Advised on cause of pain, advised on options:
1. Adjust fill - may or may not settle down, if pain completely resolves, that's good
2. If pain doesn't completely resolve, partially remove fill and investigate for fracture and remove, may fix problem, or make worse
3. If pain worsens or doesn't resolve after partially removing fill, RCT
Pt happy to proceed with adjustment today, pt understands all the outcomes
Advised to contact for emergency if pain worsens, may need extirpation if pt returns and clear irreversible pulpitis
Or partial fill removal and GIC temp if investigating