CORONAL PRE-ENDODONTIC RESTORATION What's New
What's New
Introduction /Case 1 Case 2
Case 3 Discussion /References

CORONAL PRE-ENDODONTIC RESTORATION

Article by Dr. JOSE PEDRO CORTS (Continued)

Case 2.- Female, 52 years old, who presented a fractured long dated amalgam restoration, besides secondary caries in her first right upper premolar (1.4).
Biopulpectomy was indicated (fig.6a), but a class V adhesive restoration due to an abfraction lesion, was mandatory previous to the endodontic treatment, in order to reinforce the buccal wall avoiding its wedging effect
and allowing the clamp to be firmly secured (fig. 6b).


Figure 6a-b


Following that, all the cavity walls were reinforced and a small distal wall was built up with
"artificial dentin", namely composite and last generation bonding agent (fig7a-b).


Figure 7a-b

Endodontic treatment was completed (figs 8a-b),


Figure 8a-b

and after the canals were sealed, passive titanium posts were cemented and a composite resin core was built (9-10) (fig. 9a-b).


Figure 9a-b


The crown was then prepared for an adhesively cemented ceramic onlay (figs. 10a-b and 11a-b), because many authors (1,11,12) have suggested that occlussal coverage is the best way to reinforce endodontically treated posterior teeth.


Figure 10a-b

Figure N/A
Figure 11a-b

All its margins were adjusted against sound tooth structure, leaving the previous tooth-resin core margins completely covered by the onlay.
Figures 12 and 13 show a clinical and radiographical 1-year follow-up.


Figure 12...


Figure 13...

 


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