Adaptable fiberglass post after 3D guided endodontic treatment: Novel approaches in restorative dentistry

Abstract

Objective: The rehabilitation of extensively damaged teeth with great structural loss and calcified root canals represents a challenge for dentistry. Classically, this restorative procedure of endodontically treated teeth involves intraradicular post placement.Retentive function post that can closely adapt to the root canal without the excessive wear of intraradicular dentin has a fundamental importance to ensure the longevity of the restoration.Clinical considerations: This report presents a clinical case of 3D guided access to a severely calcified pulp canal followed by the cementation of a fiberglass post that is adaptable to the root canal and prosthetic rehabilitation with full ceramic crown.Conclusions: 3D guided access allowed conservative and safe root canal treatment.The adaptable fiberglass post meets the specific needs of the described case and has a simple technique and low cost.Clinical significance: Guided endodontics is a minimally invasive approach for teeth with calcified root canals. The post used in this study meets the demands of teeth endodontically treated with conservative techniques. The professional should not need to adapt the anatomy of the root canal to the anatomical reality of the post.This one adapts itself to the shape of the canal. K E Y W O R D S adaptable post, calcified canal, guided endodontics

Guided Endodontics: A Literature Review

“…From the 37 selected case reports ( Table 2 ), 25 of them had at least one year of follow-up with excellent results in terms of the absence of symptomatology or evidence of bone regeneration [ 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 ]. Eighteen of them were performed with only single-rooted teeth [ 3 , 9 , 38 , 40 , 44 , 46 , 50 , 51 , 52 , 53 , 55 , 58 , 60 , 61 , 62 , 63 , 64 , 65 ]. In twenty-five of them, GE was used for the treatment of pulp obliteration [ 3 , 9 , 35 , 36 , 37 , 38 , 39 ,…”

Guided Endodontic Surgery: A Narrative Review

“…All the studies produced flaps analogous to those employed in clinical settings of endodontic microsurgery. Several studies have suggested avoiding the flap procedure when removing the masticatory palatal mucosa [64]. This novel approach to endodontic microsurgery may lessen the risk of complications and post-operative discomfort when apicoectomies on the palatal roots of maxillary molars are performed [66].…”