Aesthetic Non Surgical Management of Fractured Metal Posts- A Case Report
Case Report
DOI:
https://doi.org/10.56501/intjesthresdent.2023.802Keywords:
Endodontic retreatment, Fractured post, Ultrasonic endodontic instrumentsAbstract
Several clinical symptoms that develop after root canal treatment are more likely, the emergence of persistent inflammatory processes in the apical region without any subjective symptoms are signs that primary endodontic treatment has failed. A 28-year-old female patient reported with the fractured post and crown in both the maxillary central incisors. Intraradicular metal posts were removed using ultrasonic instruments. Retreatment was performed and prosthetic reconstructions were carried out. In conclusion, the presented report clearly showed that the difficult of removing individual posts could be easily performed with the use of the ultrasonic device and always orthograde retreatment followed by good prosthetic reconstruction should be considered aesthetic choice of treatment in similar clinical conditions.
References
Ruddle CJ. Nonsurgical endodontic retreatment. J Calif Dent Assoc. 2004;32:474-84.
Meidinger DL, Kabes BJ. Foreign object removal utilizing the Cavi-Endo ultrasonic instrument. J Endod. 1985;11:301-4.
Gettleman BH, Spriggs KA, Messer HH, El Deeb ME. Removal of canal obstructions with the Endo Extractor. J Endod. 1991;17:608-11.
Fors UGH, Berg JO. Endodontic treatment of root canals obstructed by foreign objects. Int Endod J. 1986;19:2-10.
Hulsmann M. The removal of silver cones using different techniques. Int Endod J. 1990;23:298-303.
Altshul JH, Marshall G, Morgan LA, Baumgartner JC. Comparison of dentinal crack incidence and of post removal time resulting from post removal by ultrasonic or mechanical force. J Endod. 1997;23:683-6.
Torabinejad M, Walton RE. Endodontics: Principles and Practice. 4th ed. St. Louis, MO: Saunders, Elsevier Inc; 2009.
Shakiba B, Hamedy R, Pak JG, Barbizam JV, Ogawa R, White SN. Influence of increased patient age on longitudinal outcomes of root canal treatment: a systematic review. Gerodontology. 2017;34:101-9.
Yee K, Bhagavatula P, Stover S, Eichmiller F, Hashimoto L, MacDonald S, Barkley III G. Survival rates of teeth with primary endodontic treatment after core/post and crown placement. J Endod. 2018;44:220-5.
Fernández R, Cardona JA, Cadavid D, Álvarez LG, Restrepo FA. Survival of endodontically treated roots/teeth based on periapical health and retention: a 10-year retrospective cohort study. J Endod. 2017;43:2001-8.
Jahreis M, Soliman S, Schubert A, Connert T, Schlagenhauf U, Krastl G, Krug R. Outcome of non‐surgical root canal treatment related to periodontitis and chronic disease medication among adults in age group of 60 years or more. Gerodontology. 2019;36:267-75.
Pennington MW, Vernazza CR, Shackley P, Armstrong NT, Whitworth JM, Steele JG. Evaluation of the cost-effectiveness of root canal treatment using conventional approaches versus replacement with an implant. Int Endod J. 2009;42:874-83.
Hauman CHJ, Chandler NP, Purton DG. Factors influencing the removal of posts. Int Endod J. 2003;36:687-90.
Economides N, Vouzara T. Non-surgical endodontic retreatment after unsuccessful apicectomy: A case report. Balk J Dent Med. 2011;15:166-70.
Goldberg F, Cantarini C, Alfie D, Macchi RL, Arias A. Relationship between unintentional canal overfilling and the long‐term outcome of primary root canal treatments and nonsurgical retreatments: a retrospective radiographic assessment. Int Endod J. 2020;53:19-26.
Alfouzan K, Jamleh A. Fracture of nickel titanium rotary instrument during root canal treatment and re‐treatment: a 5‐year retrospective study. Int Endod J. 2018;51:157-63.
Mustafa M, Almuhaiza M, Alamri HM, Abdulwahed A, Alghomlas ZI, Alothman TA, Alhajri FF. Evaluation of the causes of failure of root canal treatment among patients in the City of Al-Kharj, Saudi Arabia. Niger J Clin Pract. 2021;24:621-8.
Chogle S, Zuaitar M, Sarkis R, Saadoun M, Mecham A, Zhao Y. The recommendation of cone-beam computed tomography and its effect on endodontic diagnosis and treatment planning. J Endod. 2020;46:162-8.
Kakavetsos VD, Markou ME, Tzanetakis GN. Assessment of Cone-beam Computed Tomographic Referral Reasons and the Impact of Cone-beam Computed Tomographic Evaluation on Decision Treatment Planning Procedure in Endodontics. J Endod. 2020;46(10):1414-1419.
Burns LE, Visbal LD, Kohli MR, Karabucak B, Setzer FC. Long-term evaluation of treatment planning decisions for nonhealing endodontic cases by different groups of practitioners. J Endod. 2018;44:226-32.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Surendar Ramamoorthi, Malli Sureshbabu Nivedhitha, MJ Divyanand
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
