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A technique to salvage endodontically compromised maxillary anterior tooth
The New York State Dental Journal
|March 25, 2014
Summary
Over-preparing teeth during endodontic treatment can thin root walls, risking tooth survival. This report details a successful non-surgical repair of a thinned root wall using composite resin, saving the tooth.
Area of Science:
- Dentistry
- Endodontics
- Restorative Dentistry
Background:
- Over-preparation during endodontic access can lead to critically thin root walls.
- Thin root walls compromise the long-term prognosis and structural integrity of the tooth.
- Traditional management often involves extraction and replacement with dental implants.
Observation:
- A clinical case involving a maxillary anterior tooth with a thinned root wall resulting from endodontic over-preparation.
- The compromised tooth presented a risk of fracture and failure.
Findings:
- A successful non-surgical, multidisciplinary treatment approach was employed.
- The thinned root wall was repaired to its original thickness using composite resin material.
- The tooth was subsequently restored with a cast post and core and a crown, preserving the natural tooth.
Implications:
- This case demonstrates a viable alternative to extraction for managing endodontically compromised teeth with thin root walls.
- Nonsurgical repair offers a conservative approach to preserve natural dentition.
- Successful management enhances long-term tooth survival and patient satisfaction.
