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Full Coverage Crown on a Fractured Second Molar and Two Bites

capturing two bites for fractured second molar

Same visit crowns can be a practice builder. We had a patient referred for in house fabrication of a restoration because she did not want to go through the procedure twice. A family member made the referral for a broken tooth.

After the tooth tested vital and the patient consented to treatment, she was anesthetized. While waiting for the onsite of anesthesia, the upper arch was imaged along with the lower arch and the bite in the occlusal one window box. The case was set up for just imaging the preparation. Most of this can be delegated to team members.

fractured DL susp of lower second molar

We highly recommend that you capture the final bite after you have finished preparing the most distal tooth. You can use your camera to visualize your clearance. You can keep reducing the occlusal surface until you have enough clearance.

In this particular case, when we took the second occlusion images, the models would not turn green. When this happens, you should immediately ascertain if you have captured the first or second bite correctly. Double check to see if the jaw settled or if the patient moved their jaw during this acquisition step.

You can watch how we troubleshoot the bite and manually choose the second bite to relate the arches together.

Correcting the occlusal relationship with second bite

Once the bite is captured, the isolite is re-inserted and the tissue is displaced and isolation is achieved. Then the predation is captured.

imaging the prep after enough clearance has been established

After the crown is seated a final bitewing is taken to verify seat and if any excess resin is left behind.

post op bitewing to verify seat and resin clean up