Abstract
Cuspal fractures are relatively common. Fortunately for esthetics, when a cuspal fracture
occurs in a maxillary premolar, it most commonly involves the palatal cusp. Fractures
with a favorable prognosis may be approached with a minimally invasive treatment to
successfully retain the natural tooth. This report describes 3 cases of “cuspidization”
to treat maxillary premolars with cuspal fractures. After identifying a palatal cusp
fracture, the fractured segment was removed, resulting in a tooth that closely resembles
a cuspid. Depending on the extent and location of the fracture, root canal treatment
was indicated. Subsequently, conservative restorations sealed the access and covered
exposed dentin. Full coverage restorations were neither required nor indicated. The
resulting treatment provided practical and functional treatment with a good esthetic
outcome. When indicated, the described cuspidization technique can conservatively
manage patients with subgingival cuspal fractures. The procedure is minimally invasive
and cost-effective and can be done conveniently in routine practice.
Key Words
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Article info
Publication history
Published online: February 27, 2023
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2023 American Association of Endodontists.
