scholarly journals Esthetic Rehabilitation of Mutilated Anterior Teeth with Custom Cast Post and Core Porcelain-Fused-to-Metal Crowns

2015 ◽  
Vol 4 (1) ◽  
pp. 69-71
Author(s):  
Dinesh Kumar Saini ◽  
Virender Singh Legha

ABSTRACT An endodontically treated anterior tooth requires extracoronal restoration when the tooth structure is weakened or lost due to caries, endodontic treatment, placement of previous restorations and/or is discolored. The reduced tooth structure makes retention of extracoronal restoration difficult. The purpose of post is to provide retention for the core restoration, which replaces lost coronal structure. This article describes restoration of mutilated maxillary central incisors by using cast post and core, followed with porcelain fused to metal restorations. How to cite this article Legha VS, Saini DK, Kumar KVA. Esthetic Rehabilitation of Mutilated Anterior Teeth with Custom Cast Post and Core Porcelain-Fused-to-Metal Crowns. Int J Experiment Dent Sci 2015;4(1):69-71.

2012 ◽  
Vol 11 (3) ◽  
pp. 187 ◽  
Author(s):  
Besse Tenri Awaru ◽  
Juni Jekti Nugroho

Structure of the anterior teeth after endodontic treatment usually become weak because of the extensive loss of toothstructure. It causes a big problem to an endodontically treatment tooth when considering its restoration, examplereduced strength of the remaining tooth structure. Restoration that covers the tooth crown can be used if aesthetic andfunctional problems factors have been considered. However, composite resins are also often the treatment of choice forthe restoration of endodontically treated tooth. In this literature review, it will be discussed the selection of the properrestoration of the anterior teeth that have been endodontically treated.


2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Salah Afraa ◽  
Hashim Raghad ◽  
Khalid Ayam ◽  
Hamid Aeshah

Background. Esthetic appearance of primary anterior teeth is one of the major demands in the dental field. Destructed anterior primary teeth due to caries is considered a major issue due to the difficulty in regaining the esthetic crowns and attaching them until the normal exfoliation time. There have been many attempts and tools used to attach the composite crowns to the treated canals of primary anterior teeth. The study evaluates endodontic treatment for destructed primary maxillary incisors with a glass fiber-reinforced post as a retentive tool to hold the esthetic composite crowns until the normal exfoliation time of primary incisors. Case Presentation. A four-year-old child attending a dental clinic complained of pain of maxillary incisors. Dental examination showed irreversible pulpitis of four maxillary incisors indicated for root canal treatment and crown placement. Endodontic treatment was carried out, and a glass fiber-reinforced post was used to get successful retention for the composite crowns. Follow-up was carried out for 3 years. The 3 crowns were retained successfully until replaced by permanent incisors. One crown fell during the treatment course. Conclusion. Retention of primary teeth is one of the challenges in pediatric dentistry. Restoration of primary decayed incisors is important for child medical, physical, and psychological conditions. A glass fiber-reinforced post and core is a strong retentive tool for composite crown retention for primary incisors. This procedure opens the door for a strong tool to retain composite crowns for a long time. The glass fiber-reinforced post and core is a strong retentive tool for composite crown retention for primary incisors.


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).


2011 ◽  
Vol 58 (3) ◽  
pp. 168-173
Author(s):  
Mirjana Vujaskovic ◽  
Nikola Stojanovic ◽  
Goran Vujaskovic

Introduction. Knowledge of root canal morphology is one of the main prerequisites for successful endodontic treatment. We present the case of a patient with multiple canals in lower anterior teeth which were treated endodontically. Case Report. To a 45-year-old patient endodontic treatment was applied on lower left lateral incisor, lower right central and lateral incisor and lower right canine. These teeth were previously prepared for prosthetic crowns. All involved teeth had two canals which were not visible on the primary radiographs. Gracility of remaining tooth structure and canals and the presence of two canals in each tooth required additional radiographs for verification of multiple canals. Careful biomechanical instrumentation and irrigation with use of lubrication due to narrow canals was performed. The canals were obturated with gutta-percha using lateral compaction technique and Acroseal (Septodont) paste. On the control checkup after eight months, the patient was asymptomatic, while clinical finding was normal. Conclusion. Complexity of presented case was even more significant because these teeth were prepared to support prosthetic superstructure and crowns, and every ?forgotten? canal is an iatrogenic error.


2017 ◽  
Vol 9 (2) ◽  
pp. 23-27
Author(s):  
Dhanu. G ◽  
Kadge S S ◽  
Havale R ◽  
Shrutha S P

Early childhood caries is one of the most common chronic diseases seen in preschool children. It mainly affects maxillary primary anterior teeth and if untreated leads to pulpal involvement and destruction of coronal tooth structure. This results in decreased masticatory efficiency, difficulty in speech, compromised esthetics, development of abnormal tongue habits, subsequent malocclusion and psychological problems. The successful restoration of primary anterior teeth with severe loss of coronal structure is a challenging task for the dentists. The purpose of this case report is to describe the treatment of severely mutilated primary anterior teeth with a simple and efficient technique using omega wire extension and fiber post.


2021 ◽  
Vol 9 ◽  
pp. 2050313X2110367
Author(s):  
Ibtissem Grira ◽  
Boutheina Mahjoubi ◽  
Raouaa Belkacem Chebil ◽  
Adel Amor ◽  
Nabiha Douki

Crown-lengthening procedures are necessary to rehabilitate supracrestal insertion tissue and to guarantee a suitable dental restoration. The objective of this article was to report a surgical extrusion procedure as a treatment option for a fractured anterior tooth. A 24-year-old male patient presented to our department to rehabilitate his maxillary right lateral incisor. The tooth was fractured due to a trauma and presented a healthy periodontium. Endodontic treatment was performed before the surgical extrusion. A fixed crown was cemented after complete reduction of tooth mobility after 6 months. No complication was observed at 6 months post-operatively. A minimally traumatic surgical extrusion technique provided highly successful results in both functional and esthetic aspects, especially in the anterior region, where the latter is of great interest.


2016 ◽  
Vol 2016 ◽  
pp. 1-6
Author(s):  
Rashmi Bansal ◽  
Nakul Mehrotra ◽  
Priyanka Chowdhary ◽  
Anuraag Gurtu

Mandibular molar with extensive loss of tooth structure, especially where no cavity wall is remaining, and insertion of posts in both the roots appear necessary so as to achieve proper retention for the core material. A single unit metal casting with two posts, one in the mesial root and the other in the distal divergent root, is difficult to fabricate due to difference in the path of insertion of the two posts. Multisection post and core or single cast post and core with auxiliary post can be an effective design to manage grossly decayed mandibular molars.


2008 ◽  
Vol 9 (1) ◽  
pp. 77-83 ◽  
Author(s):  
Emre Ozel ◽  
Alper Cildir ◽  
Yonca Ozel

Abstract Aim The purpose of this case report is to describe the re-attachment of an anterior tooth fragment using a selfetching adhesive. Background Fracture of anterior teeth by trauma is a common problem in children and teenagers due to their active lifestyle. Restoration of these teeth often presents a challenge because of the large pulp in young teeth and open apical foramen depending on the age of the child. New dental adhesive materials offer an alternative solution for the treatment of some anterior tooth fractures. Report A 17-year-old female patient presented for treatment of a fractured maxillary left central incisor. The clinical examination revealed the exposure of dentin, but there was no exposure of the pulp. The patient saved the tooth fragment making it available for re-attachment to the remaining tooth structure. Under local anesthesia and rubber dam isolation the tooth fragment was re-attached using a self-etching adhesive and a microhybrid composite. Summary The re-attached tooth fragment was assessed clinically, radiographically, and using photographs at one, six, 12, 24, and 36 month intervals. The tooth remained vital, and there was no change in the color of the tooth at the three-year recall. Citation Ozel E, Cildir A, Ozel Y. Re-attachment of Anterior Tooth Fragment using a Self-etching Adhesive: A Case Report. J Contemp Dent Pract 2008 January; (9)1:77-083.


2016 ◽  
Vol 11 (4) ◽  
pp. 35-38
Author(s):  
Ashok Ayer ◽  
Rajesh Gyawali ◽  
Bahusan Bhattarai ◽  
Pramita Suwal

Restoration of severely fractured teeth presents a challenge to the endodontist and may require an interdisciplinary approach for proper management. When the available crown structure is less, orthodontic forced extrusion is the option where the coronal root structure is exposed for proper restoration. This report describes the management of severely fractured maxillary right lateral incisor with extensive loss of coronal structure and fracture line extending below gingival margin. Endodontic treatment of the fractured tooth was followed by controlled orthodontic extrusion to expose fracture margin and providing sufficient coronal tooth structure to support the prosthesis. Orthodontic extrusion may be considered as a viable option for the salvation of fractured anterior teeth.Journal of College of Medical Sciences-Nepal, Vol.11(4) 2015: 35-38


Author(s):  
Dr. Shivangi Shreya

Endodontically treated teeth (ETT) have been problematic in most cases as a result of dental caries, fractures, previous restorations and endodontic procedures. Several post system techniques and materials are currently used to build up ETT with moderate or severe loss of coronal tooth structure and to retain final restorations. Following root filling, the custom-made cast metallic post and core with metal-ceramic crowns was the traditional restoration of choice, but this has changed. The patients’ primary motivation for seeking superior dental aesthetics, particularly in the anterior aesthetic zone, has prompted the development of non-metallic restorations. Several new types of polymeric and more aesthetic quartz and glass-fibres posts, combined with direct resin composite cores, provide an aesthetic foundation for an all-ceramic crown and have overcome the aesthetic limitations of metallic posts and cores in the anterior teeth. Until recently, there has been controversy in the dental community regarding which material or technique is the most favourable for the restoration of ETT. It seems that the amount and retentive capacity of the remaining tooth structure, the position of the tooth in the dental arch, the functional or para-functional loading on the tooth, and the treatment plan to restore aesthetics and function all influence the selection of the most appropriate post system for each case.  Hence the present study was planned for Evaluation of Different Types of Crowns Used For Restoration Of Endodontically Treated Teeth. The present study was planned in Department of Conservative Dentistry and Endodontics, Buddha Institute of Dental Science and Hospital, Patna, Bihar, India. The 40 cases of maxillary anterior endodontically treated teeth (ETT). The roots were restored with reinforced GFPs (Relaxy Fiber Post, 3M ESPE, Germany), and composite resin cores (Tertic-N-Ceramic, Ivoclar Vivadent, Lichenestine). The survival of ETT is contingent on the residual sound tooth structure that remains after the endodontic access and caries removal are performed consequently the most important factors upon restoring ETT become the maximum preservation and conservation of enamel, dentin and the dentinoenamel junction. Hence, bonded partial restorations are always preferred over full coverage cementable crowns. More clinical studies comparing adhesive crowns bonded to postless build-ups or post and -core build-ups are needed for a better understanding of postless approaches in biomimetic restorative dentistry. Keywords: Endodontically treated teeth, Crown, cores, post, etc.


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