For a large DO amalgam in tooth 3 with a crack in the mesial area, what is the preferred treatment?

For a large DO amalgam in tooth 3 with a crack in the mesial area, what is the preferred treatment?

• A. Composite filling
• B. PFM
• C. Resin bonding
• D. Crown lengthening

Answer: (B)

In the context of a large DO amalgam restoration in tooth 3 (the maxillary first molar) with a crack in the mesial area, the preferred treatment involves placing a porcelain-fused-to-metal (PFM) crown. A crown is typically indicated in cases where there is significant loss of tooth structure or structural integrity due to extensive restorations or cracks. The crack noted in the mesial area indicates a potential weakness in the tooth, and such structural concerns suggest that the tooth may not be adequately protected by a simple restoration like composite filling. A PFM crown provides comprehensive coverage and reinforces the remaining tooth structure, thus preventing further fractures and offering improved function and aesthetics. Other treatments, such as resin bonding, would not provide adequate support for a tooth with a crack, while crown lengthening is more appropriate for issues related to crown height rather than addressing a structural deficiency. Therefore, selecting a PFM crown is a proactive approach to ensure the longevity and functionality of a compromised tooth.

In the context of a large DO amalgam restoration in tooth 3 (the maxillary first molar) with a crack in the mesial area, the preferred treatment involves placing a porcelain-fused-to-metal (PFM) crown. A crown is typically indicated in cases where there is significant loss of tooth structure or structural integrity due to extensive restorations or cracks.

The crack noted in the mesial area indicates a potential weakness in the tooth, and such structural concerns suggest that the tooth may not be adequately protected by a simple restoration like composite filling. A PFM crown provides comprehensive coverage and reinforces the remaining tooth structure, thus preventing further fractures and offering improved function and aesthetics.

Other treatments, such as resin bonding, would not provide adequate support for a tooth with a crack, while crown lengthening is more appropriate for issues related to crown height rather than addressing a structural deficiency. Therefore, selecting a PFM crown is a proactive approach to ensure the longevity and functionality of a compromised tooth.