Restoration of endodontically treated molar with root fracture

The management of an unusual and extreme tooth and root fracture has been presented and discussed. A somewhat unorthodox approach was used in preparing the fractured root surfaces to fit the cast gold crown instead of making a crown to fit a prepared tooth surface. Diagnosis and treatment planning is a key factor in treating unusual patients. All factors must be carefully considered. Condition of adjacent teeth, periodontal support, size and form of remaining tooth structure, and occlusion are all important considerations. With careful and proper study, simple and conservative restorations can frequently be made that will provide excellent service for extended periods of time.