Managing Restorative Emergencies - Part 2: Sensitivity, fractured teeth, and restorations

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, they are emergencies from the patient’s perspective due to the loss of esthetics. Triaging patients prior to their appointments 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.

Educational Objectives

On completion of this article, the reader will be able to:

1.  Delineate a method for triaging restorative emergencies

2.  List and describe treatment choices for patients with  dentinal hypersensitivity 

3.  Review the management of a fractured tooth or  restoration

4.  Describe the management of a fractured full or partial denture.

Abstract

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, they are emergencies from the patient’s perspective due to the loss of esthetics. Triaging patients prior to their appointments 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.