scholarly journals Aesthetic Rehabilitation of Anterior Incisor: Post and core treatment –A Case Report

Author(s):  
Anil K Tomar ◽  
Hysum Mushtaq ◽  
Shivangi Jain ◽  
Ayush Tyagi ◽  
Geetika Sabharwal ◽  
...  

This case report describes the post and core treatment of a maxillary central incisor. An 18-year-old female patient reported to the Department of Conservative Dentistry and Endodontics with the chief complaint of pain in upper front tooth region. On clinical examination, there was Ellis class III fracture resulting in loss of significant tooth structure necessitating post and core treatment. Treatment was initiated with removal of carious region, canal was located, working length was established followed by chemo mechanical preparation and obturation. Post space preparation was done in the canal followed by post cementation and core build up. Keywords: Post, core, ceramic, crown lengthening.

2016 ◽  
Vol 6 (1) ◽  
pp. 85-89 ◽  
Author(s):  
Jyoti B Nadgere ◽  
Naisargi P Shah ◽  
Amit Mahadeo Gaikwad

ABSTRACT Loss of tooth structure occurs due to caries, endodontic treatment, or fracture caused by trauma; restoring these teeth is difficult task for a clinician. Post and core is an option for teeth when excessive tooth structure is lost and teeth need to be restored with crown and bridge procedure. They can be prefabricated post with composite built up or a one-piece custom-made post. The custom-made cast metal post and core have disadvantage due to their color that imparts grayish hue to overlying ceramic restorations. Masking the metal core can enhance the esthetic of all ceramic restorations that are placed over the cast post and core. A case report is being presented where the metallic core was masked with ceramic built up on labial surface of metal core. How to cite this article Shah NP, Gaikwad AM, Ram SM, Nadgere JB. Masking Conventional Metallic Cast Post for Enhancing Esthetics. J Contemp Dent 2016;6(1):85-89.


2020 ◽  
Vol 11 (1) ◽  
pp. 93-96
Author(s):  
Suryasowjanya Doranala ◽  
Harikumar Vemisetty ◽  
Rajani Punna ◽  
Aditya Mohan Alwala

Teeth with calcific metamorphosis pose a challenge to the endodontist in achieving proper access, identification, and debridement of the root canal. With the conventional technique, radiographs and bur orientation have dictated the access cavity preparation, which leads to the removal of more sound tooth structure and iatrogenic errors. To overcome these issues, the recent diagnostic imaging techniques such as cone beam computed tomography followed by three-dimensional fabrication of template have been proposed, which aid the clinician to accurately locate and negotiate the obliterated canal. The present case report describes the importance of conservative access cavity preparation with the use of the guided endodontic technique for the treatment of calcified canals in the maxillary central incisor.


Author(s):  
O Pavan Kumar ◽  
Prathibha Paturu ◽  
E. Sandhya Rani ◽  
Kalaivani Muralidasan ◽  
N. Narendra Kumar

Management of traumatic injuries to the teeth is a challenge to the practicing dentist. It has no prescriptive method for occurring, possesses no significant predictable pattern of intensity or extensiveness and occurring at times when dentists are least prepared for it. Ninety-two percent of traumatic injuries results in fracture of maxillary permanent central incisors because of its protrusive and anterior positioning. The young permanent maxillary central incisor root canal chamber is large and tapered. This case report describes the management of Ellis Class III fractured tooth in a young permanent maxillary central incisor by an innovative clinical procedure. Keywords: tooth fracture, cast post core, trauma, metal ceramic


Author(s):  
L. Kumar ◽  
S. K. Jurel ◽  
N. Mishra ◽  
A. Yadav ◽  
D. S. Gupta

A grossly decayed tooth sometime poses difficulty in fabrication of FDP, The post core is often required to gain support from the remaining tooth structure, In a multirooted tooth where more then one root were used as support the path of insertion of post is difficult, in those cases a custom split post and core has to be fabricated. This case report describes a simple and scientific multidisciplinary approach towards management of grossly decayed tooth. The technique seems to be effective for extensively damaged teeth that lack sufficient tooth structure to create an adequate ferrule of 1.5 to 2 mm for the final crown.


2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Gabriele Villa ◽  
Gionata Bellucci ◽  
Simone Magnolo ◽  
Farah Asa’ad

Objective. This case report describes soft-tissue management after a failed GBR procedure to enhance the soft-tissue quality, quantity, and aesthetic outcomes. Case Presentation. A 38-year-old patient visited the Dental Clinic of the Ospedale Maggiore Policlinico, University of Milan, Milan, Italy, for a chief complaint of unsatisfactory aesthetics of the anterior maxillary area. Dental history disclosed failed preimplant vertical bone augmentation with GBR procedure in the area of the left maxillary central incisor resulting in a severe gingival recession of adjacent teeth and compromised soft-tissue quantity and quality and severe ridge atrophy (class III). Multilayered connective tissue grafting technique, in a two-step mucogingival surgery, was used to cover the gingival recessions, reach even gingival margin, and reconstruct the defect. Frenectomy was done after the second mucogingival surgery to relieve the muscle attachment. A definitive cantilever bridge was placed to restore the left and right maxillary central incisors, and a satisfactory aesthetic outcome was reached. Conclusions. Multilayered connective tissue grafting technique might be successful in correcting soft-tissue quantity and quality in class III ridge defects.


2013 ◽  
Vol 404 ◽  
pp. 158-163
Author(s):  
Liliana Porojan ◽  
Florin Topală ◽  
Sorin Porojan

Due to substantial loss of coronal tooth structure, corono-radicular stabilization is often required, especially in anterior teeth to provide retention and resistance form for the restoration. The use of ferrule as a part of the artificial crown was proposed in reinforcing the root-filled teeth. The purpose of this study was to investigate the effect of the ferrule height on stresses induced in an endodontically treated maxillary central incisor, which was restored with pressed ceramics, using numerical analysis. The study was developed for in order to obtain 3D models, for the design of the prepared teeth, pressed ceramics post and core systems and crowns. The use of ferrule as a part of the core was proposed in reinforcing and therefore six levels of the ferrule height were designed in order to be investigated. The study was performed on a central upper incisor, using a finite element analysis. Von Mises equivalent stresses were calculated and their distribution was plotted graphically. Regarding stress distribution in the crown high stresses are present cervical. In the prepared root stresses are under the finishing line and in the post cervical. In the post, with the increase of the ferrule height, the stresses move in coronal direction. No significant differences were found between the maximal stress values for the studied preparation designs (a ferrule height between 1 and 6mm).


2020 ◽  
Vol 4 (2) ◽  
pp. 31-33
Author(s):  
Rashmi Pundir ◽  
Chetna Jaiswal

Finding a foreign body lodged in the tooth structure of a tooth is quite uncommon occurrence and requires skill to remove the same. Its extraction requires a detailed case history followed by clinical, and radiographic examination to ascertain the size, position, and nature of the embedded objects so that the difficulty involved in its retrieval can be assessed. At times due to fear, a child hesitates from informing the parent regarding the lodgement and may only do so when one experiences pain. There is a great possibility that the foreign objects may act as a potential source of infection and lead to undesirable consequences. This case report will  discuss the lodgement, retrieval and management of foreign object (tip of lead pencil) in the maxillary left central incisor of female teenager aged 16 years.


2021 ◽  
Vol 2 (6) ◽  
pp. 5-8
Author(s):  
N. Kiran Kumar ◽  
L. Hariprasad ◽  
Mariam Thomas Priya ◽  
Savitha B. Naik ◽  
Biji Brijit ◽  
...  

The compromised tooth structure after endodontic treatment necessitates the use of post and core for structural durability. Management of the flared root canal is still a tough obstacle for the clinicians. Reinforcing the root canal space with the customised anatomic post thus regains the lost structure within the canal and aids in establishing a great strength and stability to the tooth structure. The report of this case scenario aims on clinical technique of fabricating anatomic post with glass - fibre posts and composite resin on a central and lateral incisor.


2014 ◽  
Vol 5 (1) ◽  
pp. 72-75
Author(s):  
Mateus Rodrigues Tonetto ◽  
Shelon Cristina Souza Pinto ◽  
Alvaro Henrique Borges ◽  
José Roberto Cury Saad ◽  
Matheus Coelho Bandéca ◽  
...  

ABSTRACT Endodontically treated teeth have necessary use of intracanal posts. Due to the constant need and search for esthetic materials with properties similar to tooth structure remaining fiberglass posts esthetic came good these shortcomings and are increasingly used as a first option for prosthetic rehabilitation. In this case report is described step by step how to perform the cementation of a nonmetallic post and core construction for making a piece prosthetic onlay in a simplified way, by choosing the self-etching cementation technique. How to cite this article Bandéca MC, Pinto SCS, Tonetto MR, Frizzera F, de Figueiredo Pereira K, Borges AH, Saad JRC, dos Santos RSS. Interactions between Restorative Dentistry and Periodontics: Luting Post Nonmetallic (Part II). World J Dent 2014;5(1):72-75.


2010 ◽  
Vol 04 (03) ◽  
pp. 324-328 ◽  
Author(s):  
Hakan Ozbas ◽  
Rustem Kemal Subay ◽  
Melike Ordulu

This case report presents the periapical surgical retreatment of an Oehlers Class III invaginated maxillary central incisor with extruded root canal filling into the periapical lesion. After local anesthesia, a full-thickness mucoperiosteal flap was reflected, and the granulomatous tissue and extruded gutta-percha points were curetted carefully. A deep and wide root-end cavity was prepared and filled with mineral trioxide aggregate (MTA). At 6 months and 2 years after the treatment, the tooth exhibited no clinical symptoms, and the radiograph performed during the 2-year follow-up showed a complete periapical healing around the root end. The present report indicates that MTA retrofilling can be used successfully in the surgical retreatment of dens invaginatus type III cases in which the invagination exits apically. (Eur J Dent 2010;4:324-328)


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