Endo Resto With Dentoclic Fiber Post Build Up
30/06/2022
Marc Habib
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In the following clinical case, a maxillary first premolar was presented with invading decay reaching the pulp chamber. The tooth was diagnosed with irreversible pulpitis needing root canal treatment. The pre-operative X-ray revealed a 3 rooted premolar, a special configuration that can be found in 5% of the cases as cited by Vertucci.
Knowing that the anatomy is the ultimate challenge during root canal treatment, special care was taken to preserve tooth structure as much as possible. This was done in order to maximize a conservative approach and use the adhesive technique to core build up and restore this tooth.
The purpose of this clinical Video is to highlight the possible management of core build up of endodontically treated premolar teeth with ITENA Clinical’s Corono-Radicular Restoration Kit.
Fig. 1
Pre Operative X ray
The patient presented to the clinic with deep caries on tooth 24
Primary root canal treatment is scheduled
Fig. 2
Treatment planning to restore this maxillary first premolar includes first a root canal retreatment.
The X-ray taken during the root canal treatment shows the Master cones check
Fig. 3
Post Operative X-ray taken the day of the treatment.
Step by step post endo restoration
Conclusions
In summary, Itena Clinical's resin core build up material and fiber posts can provide excellent restoration results if managed properly. Adequate steps for dentine or enamel preparation before and during bonding should be carried out for optimum result. Moreover, the clinician should respect all stages of the adhesive techniques taking special care for the time frame during etching and bonding of the tooth structures.
Bibliography
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