Clinical scenario questions for operative dentistry

1. A 40-year-old patient presents with a fractured amalgam restoration on a molar. How would you approach the restoration replacement?
2. A 65-year-old patient requires a Class II composite restoration on a mandibular premolar. What considerations are important in this case?
3. A 25-year-old patient complains of tooth sensitivity after a recent composite filling. What could be the possible causes, and how would you manage it?
4. A 50-year-old patient with severe attrition needs a full-mouth rehabilitation. What are the treatment options, and how would you proceed?
5. A 30-year-old pregnant patient needs an urgent restoration. What materials and techniques would you use, considering the patient’s condition?
6. A 12-year-old patient with deep occlusal caries on a permanent molar needs treatment. What are the conservative and non-invasive options?
7. A 55-year-old patient with a fractured ceramic crown requires a new crown. What factors should be considered when selecting the appropriate crown material?
8. A 70-year-old patient with xerostomia requires a restoration. How would you address the challenges associated with this condition?
9. A 20-year-old patient with a history of bruxism requires a Class II restoration. How would you manage the occlusal forces in this case?
10. A 45-year-old patient with a high caries risk needs a restoration. What preventive measures would you recommend?
11. A 35-year-old patient with mild fluorosis requires an esthetic restoration. What are the suitable treatment options?
12. A 28-year-old patient has a cracked incisor tooth. How would you diagnose and treat this condition?
13. A 60-year-old patient with a fractured anterior tooth needs a restoration. What esthetic considerations should be taken into account?
14. A 15-year-old patient presents with a deep carious lesion on a first molar. How would you manage pulp vitality and caries removal?
15. A 50-year-old patient with mild tooth discoloration wants an esthetic improvement. What are the available treatment options?
16. A 32-year-old patient with enamel erosion needs a restoration. How would you ensure bonding effectiveness in this case?
17. A 25-year-old patient requires a Class V restoration on a premolar. What are the challenges associated with this type of restoration?
18. A 70-year-old patient with a failing composite restoration needs replacement. How would you remove the old material safely?
19. A 40-year-old patient with a fractured cusp on a molar requires treatment. What are the indications for a full crown restoration?
20. A 30-year-old patient with a cracked posterior tooth needs restoration. What factors would influence your choice of restorative material?
21. A 55-year-old patient needs a restoration on a partially erupted third molar. What challenges does this present, and how would you approach it?
22. A 20-year-old patient with severe tooth discoloration desires an esthetic improvement. What are the available bleaching options?
23. A 45-year-old patient with an existing PFM crown requests an all-ceramic restoration. How would you manage this case?
24. A 65-year-old patient with a failing amalgam restoration requires replacement. What would be your choice of restorative material?
25. A 28-year-old patient presents with a fractured incisor and a history of parafunctional habits. How would you address the functional and esthetic aspects?
26. A 50-year-old patient with a deep carious lesion requires excavation. How would you manage the pulp exposure if it occurs?
27. A 35-year-old patient with dentin hypersensitivity needs treatment. What are the available desensitizing agents and techniques?
28. A 15-year-old patient with a Class II carious lesion on a molar needs restoration. How would you ensure a proper proximal contact?
29. A 70-year-old patient with a failing composite restoration needs replacement. How would you achieve adequate isolation for the new restoration?
30. A 40-year-old patient with generalized tooth sensitivity needs intervention. What could be the possible causes, and how would you manage it?
31. A 25-year-old patient with a fractured anterior tooth needs an esthetic restoration. What materials would you consider for this case?
32. A 55-year-old patient with moderate tooth discoloration requires an esthetic restoration. What are the treatment options?
33. A 65-year-old patient with root caries needs restoration. How would you manage the different challenges associated with root surface restorations?
34. A 20-year-old patient with a deep carious lesion on a mandibular premolar needs treatment. How would you protect the adjacent tooth structure during cavity preparation?
35. A 30-year-old pregnant patient with a fractured molar requires a restoration. What are the considerations for radiography and anesthesia in this case?
36. A 45-year-old patient with a cracked tooth and a history of occlusal trauma needs treatment. What would be your approach?
37. A 28-year-old patient with tetracycline staining requests an esthetic improvement. How would you manage this case?
38. A 50-year-old patient with a failing amalgam restoration on a molar requires replacement. How would you prepare the tooth for a new restoration?
39. A 35-year-old patient with a deep carious lesion on a premolar needs treatment. How would you achieve adequate isolation for this restoration?
40. A 70-year-old patient with a failing PFM crown requests an all-ceramic restoration. How would you manage this case?
41. A 40-year-old patient with an incisal edge fracture on a maxillary central incisor needs restoration. What factors would you consider in material selection?
42. A 25-year-old patient with dentin hypersensitivity requires treatment. What are the available treatment options, and how effective are they?
43. A 55-year-old patient with moderate tooth discoloration on anterior teeth needs an esthetic restoration. What would be your choice of material and shade?
44. A 65-year-old patient with root caries needs restoration. How would you achieve proper isolation and moisture control during the procedure?
45. A 20-year-old patient with a fractured anterior tooth requests a tooth-colored restoration. What are the options for achieving esthetic outcomes?
46. A 30-year-old pregnant patient with a deep carious lesion on a molar needs treatment. How would you manage the patient’s anxiety during the procedure?
47. A 45-year-old patient with a cracked posterior tooth requires restoration. What would be your choice of restorative material based on occlusal forces?
48. A 28-year-old patient with intrinsic tooth discoloration desires an esthetic improvement. What treatment options would you consider?
49. A 50-year-old patient with a failing amalgam restoration requires replacement. How would you ensure proper adhesion for the new restoration?
50. A 35-year-old patient with a deep carious lesion on a mandibular molar needs treatment. How would you manage the pulp if exposure occurs during excavation?
51. A 70-year-old patient with generalized tooth sensitivity needs treatment. What are the available desensitizing agents and their application techniques?
52. A 40-year-old patient with a fractured incisor and a history of parafunctional habits needs restoration. How would you protect the new restoration from further damage?
53. A 25-year-old patient with a Class II carious lesion on a premolar needs restoration. What are the options for achieving a proper proximal contact?
54. A 55-year-old patient with severe tooth discoloration requires an esthetic restoration. What materials would you consider for this case?
55. A 65-year-old patient with root caries needs restoration. How would you manage the challenges associated with root surface restorations?
56. A 20-year-old patient with a deep carious lesion on a maxillary premolar needs treatment. How would you protect the adjacent tooth structure during cavity preparation?
57. A 30-year-old pregnant patient with a fractured anterior tooth requires an esthetic restoration. What are the considerations for radiography and anesthesia in this case?
58. A 45-year-old patient with a cracked tooth and a history of occlusal trauma needs treatment. How would you approach the restoration and occlusal management?
59. A 28-year-old patient with tetracycline staining requests an esthetic improvement. What would be your choice of treatment?
60. A 50-year-old patient with a failing amalgam restoration on a molar requires replacement. How would you prepare the tooth for a new restoration?
61. A 35-year-old patient with a deep carious lesion on a mandibular premolar needs treatment. How would you achieve adequate isolation for this restoration?
62. A 70-year-old patient with a failing PFM crown requests an all-ceramic restoration. How would you manage this case?
63. A 40-year-old patient with an incisal edge fracture on a maxillary central incisor needs restoration. What factors would you consider in material selection?
64. A 25-year-old patient with dentin hypersensitivity requires treatment. What are the available treatment options, and how effective are they?
65. A 55-year-old patient with moderate tooth discoloration on anterior teeth needs an esthetic restoration. What would be your choice of material and shade?
66. A 65-year-old patient with root caries needs restoration. How would you achieve proper isolation and moisture control during the procedure?
67. A 20-year-old patient with a fractured anterior tooth requests a tooth-colored restoration. What are the options for achieving esthetic outcomes?
68. A 30-year-old pregnant patient with a deep carious lesion on a molar needs treatment. How would you manage the patient’s anxiety during the procedure?
69. A 45-year-old patient with a cracked posterior tooth requires restoration. What would be your choice of restorative material based on occlusal forces?
70. A 28-year-old patient with intrinsic tooth discoloration desires an esthetic improvement. What treatment options would you consider?
71. A 50-year-old patient with a failing amalgam restoration requires replacement. How would you ensure proper adhesion for the new restoration?
72. A 35-year-old patient with a deep carious lesion on a mandibular molar needs treatment. How would you manage the pulp if exposure occurs during excavation?
73. A 70-year-old patient with generalized tooth sensitivity needs treatment. What are the available desensitizing agents and their application techniques?
74. A 40-year-old patient with a fractured incisor and a history of parafunctional habits needs restoration. How would you protect the new restoration from further damage?
75. A 25-year-old patient with a Class II carious lesion on a premolar needs restoration. What are the options for achieving a proper proximal contact?
76. A 55-year-old patient with severe tooth discoloration requires an esthetic restoration. What materials would you consider for this case?
77. A 65-year-old patient with root caries needs restoration. How would you manage the challenges associated with root surface restorations?
78. A 20-year-old patient with a deep carious lesion on a maxillary premolar needs treatment. How would you protect the adjacent tooth structure during cavity preparation?
79. A 30-year-old pregnant patient with a fractured anterior tooth requires an esthetic restoration. What are the considerations for radiography and anesthesia in this case?
80. A 45-year-old patient with a cracked tooth and a history of occlusal trauma needs treatment. How would you approach the restoration and occlusal management?
81. A 28-year-old patient with tetracycline staining requests an esthetic improvement. What would be your choice of treatment?
82. A 50-year-old patient with a failing amalgam restoration on a molar requires replacement. How would you prepare the tooth for a new restoration?
83. A 35-year-old patient with a deep carious lesion on a mandibular premolar needs treatment. How would you achieve adequate isolation for this restoration?
84. A 70-year-old patient with a failing PFM crown requests an all-ceramic restoration. How would you manage this case?
85. A 40-year-old patient with an incisal edge fracture on a maxillary central incisor needs restoration. What factors would you consider in material selection?
86. A 25-year-old patient with dentin hypersensitivity requires treatment. What are the available treatment options, and how effective are they?
87. A 55-year-old patient with moderate tooth discoloration on anterior teeth needs an esthetic restoration. What would be your choice of material and shade?
88. A 65-year-old patient with root caries needs restoration. How would you achieve proper isolation and moisture control during the procedure?
89. A 20-year-old patient with a fractured anterior tooth requests a tooth-colored restoration. What are the options for achieving esthetic outcomes?
90. A 30-year-old pregnant patient with a deep carious lesion on a molar needs treatment. How would you manage the patient’s anxiety during the procedure?
91. A 45-year-old patient with a cracked posterior tooth requires restoration. What would be your choice of restorative material based on occlusal forces?
92. A 28-year-old patient with intrinsic tooth discoloration desires an esthetic improvement. What treatment options would you consider?
93. A 50-year-old patient with a failing amalgam restoration requires replacement. How would you ensure proper adhesion for the new restoration?
94. A 35-year-old patient with a deep carious lesion on a mandibular molar needs treatment. How would you manage the pulp if exposure occurs during excavation?
95. A 70-year-old patient with generalized tooth sensitivity needs treatment. What are the available desensitizing agents and their application techniques?
96. A 40-year-old patient with a fractured incisor and a history of parafunctional habits needs restoration. How would you protect the new restoration from further damage?
97. A 25-year-old patient with a Class II carious lesion on a premolar needs restoration. What are the options for achieving a proper proximal contact?
98. A 55-year-old patient with severe tooth discoloration requires an esthetic restoration. What materials would you consider for this case?
99. A 65-year-old patient with root caries needs restoration. How would you manage the challenges associated with root surface restorations?
100. A 20-year-old patient with a deep carious lesion on a maxillary premolar needs treatment. How would you protect the adjacent tooth structure during cavity preparation?

Some additional scenarios

Scenario 1:
A patient presents with a Class III composite restoration on tooth #8. The restoration has been in place for 5 years and appears to have failed due to marginal decay. What would be the appropriate treatment plan for this case?

Scenario 2:
A patient experiences pain upon biting down on their back molars. Radiographs reveal evidence of an abscessed tooth with bone loss. What would be the most likely diagnosis and treatment plan for this condition?

Scenario 3:
A patient requests cosmetic bonding to improve the appearance of their front teeth. After examination, it is determined that the teeth require minimal preparation and can be treated with direct composite resin bonding. What steps would you take to prepare the teeth for bonding and what materials would you use?

Scenario 4:
A patient presents with a large amalgam filling on tooth #16 that has developed a defective margin. The patient complains of sensitivity to hot and cold stimuli. What would be the appropriate treatment plan for this case?

Scenario 5:
A patient requires extraction of a non-restorable tooth. What type of anesthesia would you administer and why?

Scenario 6:
A patient presents with a fractured maxillary central incisor. The tooth is mobile and there is no visible sign of root fragmentation. What would be the appropriate treatment plan for this case?

Scenario 7:
A patient reports difficulty chewing on their back teeth due to wear facets on the posterior teeth. What would be the most likely cause of this symptom and how would you treat it?

Scenario 8:
A patient presents with a radiolucent lesion on tooth #19. Based on the patient’s medical history and risk factors, what would be the most likely diagnosis and treatment plan for this condition?

Scenario 9:
A patient experiences pain when biting down on their front teeth. Examination reveals that the teeth are worn flat and have exposed dentin. What would be the most likely cause of this symptom and how would you treat it?

Scenario 10:
A patient requires placement of a dental implant in the esthetic zone. What factors would you consider when selecting the appropriate implant size and shape, and how would you address potential risks and complications?

1. A 35-year-old patient presents with a carious lesion on tooth #3. What is the first step in the treatment plan?
2. A 65-year-old patient presents with a fractured cusp on tooth #1. What is the most appropriate treatment option?
3. A 10-year-old patient presents with a deep carious lesion on tooth #5. What is the best way to restore the tooth?
4. A 70-year-old patient presents with a root canal-treated tooth #9. The tooth is now asymptomatic, but the patient is concerned about the color of the tooth. What are your treatment options?
5. A 25-year-old patient presents with a Class II composite restoration on tooth #7. The restoration is fractured and needs to be replaced. What are your treatment options?
6. A 55-year-old patient presents with a Class I amalgam restoration on tooth #4. The restoration is leaking and needs to be replaced. What are your treatment options?
7. A 40-year-old patient presents with a Class III composite restoration on tooth #2. The restoration is discolored and needs to be replaced. What are your treatment options?
8. A 30-year-old patient presents with a Class IV amalgam restoration on tooth #8. The restoration is leaking and needs to be replaced. What are your treatment options?
9. A 60-year-old patient presents with a Class V amalgam restoration on tooth #10. The restoration is discolored and needs to be replaced. What are your treatment options?
10. A 15-year-old patient presents with a Class II composite restoration on tooth #6. The restoration is fractured and needs to be replaced. What are your treatment options?

11. A 20-year-old patient presents with a deep carious lesion on tooth #12. The lesion is close to the pulp, and the patient is experiencing some sensitivity. What are your treatment options?
12. A 45-year-old patient presents with a fractured mesial cusp on tooth #11. The patient is not experiencing any pain, but the cusp is slightly mobile. What are your treatment options?
13. A 75-year-old patient presents with a root canal-treated tooth #20. The tooth is now asymptomatic, but the patient is concerned about the strength of the tooth. What are your treatment options?
14. A 35-year-old patient presents with a Class II composite restoration on tooth #14. The restoration is discolored and needs to be replaced. The patient is also interested in whitening the tooth. What are your treatment options?
15. A 55-year-old patient presents with a Class I amalgam restoration on tooth #13. The restoration is leaking and needs to be replaced. The patient is also interested in getting a crown on the tooth. What are your treatment options?
16. A 40-year-old patient presents with a Class III composite restoration on tooth #12. The restoration is fractured and needs to be replaced. The patient is also interested in getting a veneer on the tooth. What are your treatment options?
17. A 30-year-old patient presents with a Class IV amalgam restoration on tooth #11. The restoration is leaking and needs to be replaced. The patient is also interested in getting a bridge to replace the missing tooth #10. What are your treatment options?
18. A 60-year-old patient presents with a Class V amalgam restoration on tooth #14. The restoration is discolored and needs to be replaced. The patient is also interested in getting a partial denture to replace the missing teeth #15 and #16. What are your treatment options?
19. A 15-year-old patient presents with a Class II composite restoration on tooth #13. The restoration is fractured and needs to be replaced. The patient is also interested in getting braces to correct their bite. What are your treatment options?
20. A 25-year-old patient presents with a Class I amalgam restoration on tooth #12. The restoration is leaking and needs to be replaced. The patient is also interested in getting Invisalign to correct their bite. What are your treatment options?