The overall goal of this course is to provide the reader with information on the management of esthetic restorative emergencies. On completion of this article, the reader will be able to:
1. Describe and evaluate esthetic restorative emergencies
2. Review the steps involved in the evaluation of an esthetic restorative emergency
3. List and describe the protocols and options available for the treatment of a fractured incisor without pulpal involvement
4. Review the materials and protocols available for the treatment of patients presenting with fractured porcelain on all-porcelain or porcelain-fused-to-metal restorations
5. Provide an overview of the methodology involved in the treatment that can be provided to restore esthetics for a patient presenting with an avulsed periodontally-involved anterior incisor.
Esthetic restorative emergencies in the anterior esthetic zone can involve a fractured tooth, fracture of metal or ceramic material from fixed indirect restorations, or the avulsion or loss of a periodontally-involved incisor. While these are not acute emergencies from the perspective of pain or discomfort, from the patient’s perspective these are emergencies due to the loss of esthetics. Triaging patients prior to the appointment is helpful in planning and optimizing treatment. A number of treatment options are available to provide these patients with single-visit solutions to these esthetic restorative emergencies.