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Assessment of endodontically treated teeth for restorative procedures
1Howard University, College of Dentistry, Washington, DC.
Compendium (Newtown, Pa.)
|July 1, 1990
Summary
Cement extrusion during post and core procedures can harm surrounding tissues. Careful evaluation of endodontic treatment is crucial before restorative work to prevent complications.
Area of Science:
- Dentistry
- Endodontics
- Restorative Dentistry
Background:
- Restorative treatment of endodontically treated teeth often involves cast posts and cores.
- Cementation of posts and cores requires careful technique to avoid complications.
- Zinc phosphate cement is commonly used for luting posts and cores.
Observation:
- A case report details the extrusion of zinc phosphate cement into periapical tissues.
- This complication occurred during the cementation of cast posts and cores in endodontically treated upper central incisors.
- The extruded cement impacted the tissues surrounding the tooth apex.
Findings:
- The case highlights potential risks associated with post and core cementation.
- Extrusion of restorative materials into periapical tissues can occur.
- Inadequate assessment of prior endodontic treatment may contribute to complications.
Implications:
- Emphasizes the need for thorough pre-restorative evaluation of endodontic therapy.
- Suggests potential indications for endodontic re-treatment.
- Informs clinicians about the importance of meticulous cementation techniques in post and core procedures.