case help

[regular student]

Case :
Attrited lower canine.PA shows not involving pulp.Pt has severe radiating pain to the head. pain on percussion present.
central and lateral incisors are attrited as well.Infact more attrited than canine and has periodical lesion on radiograph.no pain.

Iam thinking of attrition with dentin exposure.recommended RCT and crown.pt can't afford it so recommended extraction.Also pt is old and needs most of the teeth to be treated due to decay/attrition/missing tooth.so crown for just that tooth can't help


any comments?/different diagnosis/treatmen plan

 

[MattKW]

1. Mandibular canines don't usually radiate to maxilla.
2. Just because PA shows no pulpal connection doesn't rule out acute pulpitis and a need to treat.

That aside, why not just RCT without a crown? You can get pretty direct access if the tooth is worn down, and maybe you could put a post when finished if helpful.