In older patients, repairs may take precedence over replace- By John Kanca III, DMD

Introduction: 

After you're in practice for many years, your patients age with you if you're lucky. As they get older, health complications arise and limit your ability to implement the kinds of restorations you would prefer. Thus you learn to repair, sometimes in difficult cases. Here are a few examples

John Kanca III, DMD
This patient has suffered multiple strokes and chair time is limited
John Kanca III, DMD
The fracture is cleaned with Clean and Boost, rinsed and dried
John Kanca III, DMD
The amalgam is sandblasted
John Kanca III, DMD
Surpass is applied
John Kanca III, DMD
The missing cusp is built up with Exquisite Restoration
John Kanca III, DMD
Finished. Not perfect but very serviceable
John Kanca III, DMD
Occlusal view
John Kanca III, DMD
Similar repair at one year recall
John Kanca III, DMD
Another repair, buccal cusp fractured. 1 1/2 year recall
John Kanca III, DMD
Occlusal view of same

Conclusion: 

Sometimes you have to know when to hold 'em and when to fold 'em. This shows that repairs of restorations in elderly patients is a viable option.

Case by: 

John Kanca III, DMD

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