NS-9 - "Cuspidization" and Conservative Management of Cuspal Fractures

Crown fractures, and cusp fractures in particular, are relatively common findings in clinical practice. Treatment depends on the nature of the fracture location, severity, depth and whether the pulp is exposed. The majority of crown fractures do not require extraction, but do require clinical management. One particular challenge is a deep subgingival fracture involving maxillary teeth. Cuspidization is a technique that provides a conservative and non-invasive approach to manage deep cuspal fractures in the maxillary arch. This technique also presents an important biologic phenomenon (periodontal reattachment) that makes this approach possible. The result is a non-invasive, predictable treatment that meets our patient’s esthetic demands and can be implemented in everyday clinical practice.