The mesial papilla is severely recessive with open contact 3 years 5 months post cementation.  BW shows DO caries of the teeth #2, 4 and 30.  The crown is removed for better oral hygiene by fabricating a provisional and conservative composite for #4.  Water Pik is recommended.

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Xin Wei, DDS, PhD, MS 1st edition 01/23/2020, last revision 01/24/2020