HOME - Clinical cases - Prosthodontics
 
 
30 November 2023

How to classify structurally compromised teeth? A novel classification proposal

Lorenzo Breschi


Introduction: Natural teeth can undergo structural compromissions as a result of caries, fractures and severe wear. In a recent clinical article, Fichera G. et al. introduced a comprehensive, clinically relevant novel classification of structurally compromised teeth (SCT) based on the status of the residual coronal structure and the most apical location of the residual cervical structure, with respect to periodontal tissues. 

Materials and methods: To classify the SCT, standardize the overall preoperative evaluations and determine the biological and mechanical features, authors analyzed various aspects regarding the structure of the tooth and soft tissues. A classification of the coronal and cervical tooth defects, an attentive analysis of the biomechanical and biological characteristics of SCT was presented.

Results/discussion: According to the position of the most apical part of the cervical structure with respect to the gingival margin, gingival sulcus, supracrestal tissue attachment and bone crest, five major different clinical scenarios can be individuated. Within this classification, the authors intend to draw the attention to those challenging clinical situations that can pose clinicians in front of the decision on whether to intervene with direct restorative approaches or refer to more aggressive or time-consuming interventions.

Conclusions: The SCT classification is intended to enhance the existing and offer new standardized operative guidelines, enlarge the spectrum of strategical clinical options for the maintenance of the natural tooth and perform a risk-benefit analysis during diagnostic phases. 


Keywords: bone crest, cervical structure, classification, ferrule, resistance form, structurally compromised teeth, supracrestal tissue attachment 


For more information: Fichera G, Mazzitelli C, Picciariello V, Maravic T, Josic U, Mazzoni A, Breschi L. Structurally compromised teeth. Part I: Clinical considerations and novel classification proposal. J Esthet Restor Dent. 2023 Aug 24. doi: 10.1111/jerd.13117. Epub ahead of print. PMID: 37615505.


Source: https://doi.org/10.1111/jerd.13117


Related articles

National Pet Dental Health Month is underway, and Thrive Pet Healthcare, a leading veterinary healthcare network with more than 380 locations in 37 states across the U.S., is spotlighting a...


Internal root resorption originates from an inflammatory reaction, initiated by damage to the odontoblast layer and non-mineralized predentin, which results in exposure of mineralized dentin to the...


Recent literature studies have shown that vital pulp treatments (VPT) can be effective both in deciduous teeth but also in mature permanent teeth with irreversible pulpitis (Lin et al., 2020). One...


Zirconia (ZrO2) is currently one of the most used and promising restorative materials in dentistry due to its excellent mechanical properties, good biocompatibility and satisfying aesthetic...


The American Dental Association says to “skip sticky or sour candies” but “a little chocolate is fine.”


Read more

USA     22 February 2024 - 24 February 2024

2024 Chicago Midwinter Meeting

Early-bird rates available through Nov. 30

The 2024 Midwinter Meeting provides exceptional continuing education featuring top dental speakers, an expansive Exhibit Hall with the best vendors in the country and opportunities to meet old and...


USA     22 February 2024 - 23 February 2024

Save the date: A new era for prosthodontics Feb. 2024

95th Annual Meeting of the American Prosthodontic Society

APS Members and colleagues will enjoy relevant education in advanced prosthodontics and implantology, interdisciplinary instruction led by world-renowned experts, and networking and social events...


The U.S. Food and Drug Administration (FDA) has approved Dr. Jonathan An from the UW Department of Oral Health Sciences to lead the first-ever study to evaluate rapamycin in older adults with...


The American Association for Anatomy (AAA) announced its 2024 award recipients, recognizing outstanding contributions to the field. Two UCSF School of Dentistry professors were among the respected...


The National Mobile & Teledentistry Conference (NMTC), the only educational conference geared towards virtual and mobile dental care, is excited to announce our 5-year anniversary at our upcoming...


 
 
 
 

 
 
 
 

Most popular

 
 

Events