scholarly journals Intraradicular rehabilitation of a necrotic, immature tooth using MTA, a fiber post and composite resin - A case report

2021 ◽  
Vol 76 (06) ◽  
pp. 358-362
Author(s):  
Deon Naicker ◽  
Saidah Tootla
Keyword(s):  
Case Report ◽  
Composite Resin ◽  
Mineral Trioxide Aggregate ◽  
Fiber Post ◽  
Present Case Report ◽  
Immature Teeth ◽  
Fiber Posts ◽  
Fracture Management ◽  
Open Apices ◽  
Adhesive Cement

Endodontic treatment of necrotic, immature teeth with open apices can present challenges to debridement, disinfection, and optimal obturation. These teeth may have widely flared canals and thin radicular dentinal walls that are susceptible to fracture. Management of the open apex can be performed using a mineral trioxide aggregate (MTA) apical plug. To ensure a better prognosis in such structurally compromised teeth, internal radicular reinforcement using fiber posts and a self-adhesive cement has been suggested. The present case report illustrates the management of a necrotic, immature maxillary right central incisor in a 10-year-old patient using the MTA apical barrier technique and canal reinforcement using a fiber post.

scholarly journals Fracture resistance of simulated immature teeth after apexification with calcium silicate-based materials

2016 ◽  
Vol 10 (02) ◽  
pp. 188-192 ◽  
Author(s):  
Evren Ok ◽  
Mustafa Altunsoy ◽  
Mehmet Tanriver ◽  
Ismail Davut Capar ◽  
Abdussamed Kalkan ◽  
...  
Keyword(s):  
Analysis Of Variance ◽  
Calcium Silicate ◽  
Fracture Resistance ◽  
Composite Resin ◽  
Mineral Trioxide Aggregate ◽  
Control Group ◽  
Fiber Post ◽  
Immature Teeth ◽  
Post Hoc

ABSTRACT Objective: To compare the fracture resistance of simulated immature teeth filled with an apical barrier of mineral trioxide aggregate (MTA), Biodentine, and calcium-enriched mixture (CEM). Materials and Methods: Fifty-two single-rooted human maxillary central incisors were used. For standardization, the teeth were sectioned 6 mm above and 9 mm below the cementoenamel junction to simulate immature apex. Simulations of roots into immature apices were carried out using 1.5 mm diameter drills. The specimens were then randomly divided into three experimental groups (n = 13) and one control group (n = 13). In experimental groups, MTA, Biodentine, and CEM were placed to apical 4 mm of the simulated immature roots. The samples were stored at 37°C and 100% humidity for 1 week. A load was applied on the crown of all teeth at 135° to their long axis until fracture. The data were analyzed using one-way analysis of variance and Tukey post-hoc tests. Results: No statistically significant differences were found among MTA, CEM, and Biodentine (P > 0.05), and these groups demonstrated higher fracture resistance than control group (P < 0.05). Conclusions: Using any of the MTA, Biodentine, and CEM as an apical plug and restoring with fiber post and composite resin increases the fracture resistance of immature teeth.

scholarly journals Restoring a Fractured Endodontically Treated Incisor Using Fiber Post: A Case Report

2020 ◽  
Vol 3 (11) ◽  
pp. 355-357
Author(s):  
Gayathri KM ◽  
Prasad PK
Keyword(s):  
Case Report ◽  
Male Patient ◽  
Dental Trauma ◽  
Fiber Post ◽  
Endodontically Treated Teeth ◽  
Present Case Report ◽  
Tooth Structure ◽  
Anterior Teeth ◽  
Fiber Posts ◽  
Tooth Number

Coronal fractures of the anterior teeth arising after endodontic treatment are sequelae of dental trauma. Endodontically treated teeth presents a higher risk of biomechanical failure than vital teeth. Posts are needed for restoring teeth with insufficient coronal tooth structure to retain a core for definitive restoration. Fiber posts are more easily and safely removed "by hollowing them out from the inside”. This present case report depicts a 23 year old male patient with fracture of tooth number 21 which had undergone an RCT 8-10 months ago and was restored using fiber post.

scholarly journals Management of a non-vital immature tooth using MTA as an apical plug: Two case reports

2015 ◽  
Vol 5 (1) ◽  
pp. 41-46
Author(s):  
S Wagle ◽  
N Joshi ◽  
K Prajapati
Keyword(s):  
Root Canal ◽  
Case Reports ◽  
Mineral Trioxide Aggregate ◽  
Canal System ◽  
Immature Teeth ◽  
Open Apices ◽  
Root Canal System

MTA appears to be a valid option for apexification with its main advantage being, the speed at which the treatment can be completed. A major problem in performing endodontics in immature teeth with necrotic pulp and wide open apices is obtaining an optimal seal of the root-canal system. Mineral Trioxide Aggregate (MTA), has been proposed as a potential material to create an apical plug at the end of the root-canal system, thus preventing the extrusion of filling materials.DOI: http://dx.doi.org/10.3126/jcmc.v5i1.12574

scholarly journals Apexification Using Mineral Trioxide Aggregate and Modified Internal Matrix: A Case Report

2021 ◽  
Vol 33 (2) ◽  
Keyword(s):  
Case Report ◽  
Mineral Trioxide Aggregate ◽  
Tissue Formation ◽  
Enamel Hypoplasia ◽  
Hard Tissue ◽  
Radiographic Evidence ◽  
Radiographic Findings ◽  
Immature Teeth ◽  
Patient Reported ◽  
Treatment Alternatives

When pulpal necrosis occurs in immature teeth, one of the treatment alternatives is the creation of an artificial apical barrier through the placement of an apical plug. However, controlling the mineral trioxide aggregate (MTA) during placement has proven difficult. Several studies evaluated the use of resorbable barriers to act as an internal matrix to prevent accidental extrusion of MTA. The aim of this case report was to document the effectiveness of Surgicel as a modified internal matrix for proper placement of MTA during management of immature teeth with necrotic pulp using the apical plug technique. A 12-year-old female patient reported with the chief complaint of a badly mutilated lower right second premolar. The tooth suffered enamel hypoplasia and had a defective coronal structure. It was asymptomatic except for slight tenderness to percussion. Based on the clinical and radiographic findings, a diagnosis of pulpal necrosis with symptomatic apical periodontitis was made. The 3- and 6-month followup showed radiographic evidence of continued root and hard tissue formation. Based on these findings, we infer that Surgicel can be used as a modified internal matrix to prevent extrusion of the MTA into the periapical area and allow for proper MTA placement. Keywords: Apexification; Apical plug; Mineral trioxide aggregate; Calcium hydroxide; Surgicel; Modified internal matrix

scholarly journals Four-year Follow-up of a Direct Anatomical Fiber Post and Esthetic Procedures: A Case Report

2016 ◽  
Vol 41 (4) ◽  
pp. 363-369 ◽  
Author(s):  
AFM Cardenas ◽  
FSF Siqueira ◽  
A Davila-Sanchez ◽  
GM Gomes ◽  
A Reis ◽  
...  
Keyword(s):  
Case Report ◽  
Clinical Case ◽  
Resin Composite ◽  
Fiber Post ◽  
Fiber Posts ◽  
All Ceramic ◽  
Glass Fiber Post ◽  
The Stability ◽  
Ceramic Crown

SUMMARY Knowledge about the stability of fiber posts cemented in widened canal spaces over time is scarce in the literature. Thus, the purpose of this case report was to evaluate the performance of a direct anatomical post in a widened canal space over the course of four years. The present clinical case describes the rehabilitation of a widened canal space using a direct anatomical post (a resin composite combined with a prefabricated glass fiber post) associated with an all-ceramic crown and other restorative procedures. This technique is easy to perform and may solve some of the problems associated with the cementation of a poorly adapted fiber post in a widened canal space.

Effect of Operator Experience on the Outcome of Fiber Post Cementation With Different Resin Cements

2013 ◽  
Vol 38 (5) ◽  
pp. 555-564 ◽  
Author(s):  
GM Gomes ◽  
OMM Gomes ◽  
A Reis ◽  
JC Gomes ◽  
AD Loguercio ◽  
...  
Keyword(s):  
Bond Strength ◽  
In Vitro Study ◽  
T Test ◽  
Fiber Post ◽  
Operator Experience ◽  
Fiber Posts ◽  
Glass Fiber Posts ◽  
Adhesive Cement ◽  
Push Out

SUMMARY Objectives To evaluate the influence of operator experience (dentist vs student) and cementation system (Adper Scotchbond Multi-Purpose [SBMP] + RelyX ARC [1]; Adper Single Bond 2 [SB] + RelyX ARC [2] and RelyX U100 [3]) on the push-out bond strength (BS) of fiber post to radicular dentin. Materials and Methods The roots of 48 extracted human maxillary central incisors were prepared and divided into six groups (n=8), according to combination of the above factors. Glass fiber posts were cemented in accordance with the instructions of the manufacturer of each cementation system. After water storage at 37°C for one week, the roots were cross-sectioned into six 1-mm thick slices and the push-out test was performed (0.5 mm/min). Data were statistically analyzed by two-way analysis of variance and Tukey tests (α=0.05). The BS results obtained by dentist and student for each cementation system were compared using the Student t-test (α=0.05). Results Higher BS means were observed for the expert operators, irrespective of the cementation system used (p=0.006). RelyX U100 showed the highest bond strength, but it did not differ from SBMP + RelyX ARC. The Student t-test revealed that only RelyX U100 was not affected by the operator's experience. Conclusion Within the limitations of this in vitro study, it can be concluded that the self-adhesive cement RelyX U100 showed the highest bond strength to the root canal in the student's group, and its performance was not affected by the operator's experience.

scholarly journals Pulp Revascularisation of a Non-Vital Immature Young Permanent Tooth - A Case Report and Literature Review

2021 ◽  
Vol 10 (11) ◽  
pp. 845-848
Author(s):  
Tanvi Sanjay Satpute ◽  
Jayeeta Sidharth Verma ◽  
Jimish Rajiv Shah ◽  
Aditya Kiran Shinde
Keyword(s):  
Case Report ◽  
Root Development ◽  
Root Canal ◽  
Mineral Trioxide Aggregate ◽  
Signs And Symptoms ◽  
Permanent Tooth ◽  
Duration Of Treatment ◽  
Pulp Tissue ◽  
Dental Tissues ◽  
Immature Teeth

Traumatic injuries to an immature permanent tooth may result in cessation of dentin deposition and root maturation. Novel revascularisation endodontic procedure (REP) has been considered as an option for treatment of immature teeth with damaged pulp tissue. The continuous development of the root and the root canal has been recognised as a major advantage of this technique over traditional apexification approach. Traditional apexification procedures may resolve pathology but have not been able to prove tooth survival due to absence of continued root development and risk of root fracture. A successful REP results in resolution of signs and symptoms of pathology, radiographic signs of healing, proof of continued root development as well as presence of pulp vitality due to the regeneration of pulp tissue in the root canal. Currently, repair rather than true regeneration of the ‘pulp-dentine complex’ is achieved and further root maturation is variable. According to Glossary of Endodontic terms published by American Association of Endodontists, REP’s are biologically based procedures designed to physiologically replace damaged tooth structures, including dentin and root structures, as well as cells of the pulp-dentin complex.1,2 Apexification treatment has been a routine procedure to treat and preserve such teeth for many decades.3 Apexification is the process by which a suitable environment is created within the root canal and periapical tissue to allow for the formation of a calcific barrier across the open apex. Calcium hydroxide [Ca(OH)2] has been the material of choice for apexification as Frank reported its capacity to induce physiological closure of immature pulpless teeth in 1966.4 However, this technique has several disadvantages, including the unpredictability of apical barrier formation and the long duration of treatment, which often requires multiple visits.5 A retrospective study by Jeruphuaan et al.6 has shown a higher survival rate with regenerative endodontic treatment when compared to both mineral trioxide aggregate (MTA) and Ca(OH)2 apexification. The first evidence of regeneration of dental tissues was in 1932 by G.L. Feldman, who showed evidence of regeneration of dental pulp under certain optimal biological conditions.7 In 1971, a pioneer study in regenerative endodontics conducted by Nygaard-Ostby concluded that bleeding induced within a vital or necrotic canal led to resolution of signs and symptoms of necrotic cases and in certain cases, apical closure.8 According to Windley et al. (2005), the successful revascularisation of immature teeth with apical periodontitis is mainly dependent upon: 1. Canal disinfection 2. Scaffold placement in the canal for the growing tissues 3. Bacteria-tight sealing of the access opening.9 The purpose of this case report is to illustrate the outcome of a revascularisation endodontic procedure in a non-vital immature young permanent central incisor.

scholarly journals Choice of Endodontic Fiber Posts and its Influence on Dental Malpractice: An in vitro Evaluation

2017 ◽  
Vol 18 (6) ◽  
pp. 452-457
Author(s):  
Houssam Jassar ◽  
Hassan El Husseini
Keyword(s):  
Bond Strength ◽  
Low Cost ◽  
Fiber Post ◽  
Endodontically Treated Teeth ◽  
Fiber Posts ◽  
Significant Difference ◽  
Post Space ◽  
Adhesive Cement ◽  
Push Out

ABSTRACT Aims and objectives The fiber post type used in restoring endodontically treated teeth may affect the dental expert decision in the case of dental malpractice. The aim of this study was to evaluate the low-cost commercial fiber post in comparison with a higher cost or well-known documented fiber post system. Materials and methods A total of 20 premolars were selected for the study; following endodontic treatment, specimens were randomly divided into two groups of 10 specimens each according to the type of fiber post used: (1) Low-cost commercial fiber post (OYAPost, Taper Lucent, OYARICOM) and (2) higher cost well-known fiber post (Rely X Fiber post, 3M ESPE). Both fiber posts were cemented using self-adhesive cement (Rely X Unicem). Samples were subjected to push-out bond strength and to failure analysis. One-way analysis of variance was used (p < 0.005). Results There was no significant difference between the bond strength of the two tested groups (p > 0.05), while statistically significant difference (p < 0.05) was noted between the different post space regions (cervical, middle, and apical). Conclusion Based on the evidence from the study, it can be concluded that the type of fiber post should not affect the dental expert decision in the case of dental malpractice/lawsuit. Clinical significance All types of low-cost fiber posts may behave similarly to other higher cost or well-documented fiber posts. How to cite this article Ayoub F, Jassar H, El Husseini H, Salameh Z. Choice of Endodontic Fiber Posts and its Influence on Dental Malpractice: An in vitro Evaluation. J Contemp Dent Pract 2017;18(6):452-457.

scholarly journals Influence of Relining Post on the Bond Strength of Resin Cements

2015 ◽  
Vol 16 (7) ◽  
pp. 559-564 ◽  
Author(s):  
Matheus Coelho Bandéca ◽  
Adriano Augusto Melo de Mendonça ◽  
Etevaldo Matos Maia Filho ◽  
Fausto da Silva Bramante ◽  
Darlon Martins Lima ◽  
...  
Keyword(s):  
Bond Strength ◽  
Resin Cement ◽  
The Self ◽  
Fiber Post ◽  
Resin Cements ◽  
Adhesive Resin ◽  
Fiber Posts ◽  
Significant Difference ◽  
Adhesive Cement ◽  
Push Out

ABSTRACT This study evaluated the influence of relining fiber posts on the bond strength (BS) of resin cements in the root canal. Forty bovine teeth were divided in four groups (n = 10)G1 (ARC)—fiber post cemented with resin cement RelyX ARC; G2 (ARC+Z350)—relined fiber post cemented with RelyX ARC; G3 (U200)—fiber post cemented with self-adhesive cement RelyX U200; G4 (U200+Z350)—relined fiber post cemented with RelyX U200. The roots were sectioned in six 1.2-mm slices and the push-out test was performed. Data were analyzed by three-way analysis of variance (ANOVA), and Tukey's test (α = 0.05). For the conventional resin cement, there was no significant difference between groups G1-ARC (15.5 ± 3.8) and G2-ARC+Z350 (16.1 ± 4.5). For the self-adhesive cement, the results revealed higher BS values for relined posts G4-U200 + Z350 (19.9 ± 7.9) as compared to non-relined posts G3-U200 (14.4 ± 4.5). For both cements, in groups of relined posts, the apical and the cervical thirds presented similar BS. Relining enhances the performance of the self-adhesive resin cement, and the interaction between relining and root third influences the BS to the conventional resin cement. How to cite this article Conde DM, Rodrigues VP, de Fátima Carvalho Souza S, Bauer JRO, da Silva Bramante F, Lima SNL, Filho EMM, Bandeca MC, de Mendonça AAM, Lima DM. Influence of Relining Post on the Bond Strength of Resin Cements. J Contemp Dent Pract 2015;16(7):559-564.

Sign in / Sign up

Export Citation Format

Share Document