Multiple-Session Endodontic Treatment Of Maxillary Central Incisor With Total Crown Loss And Wide Periapical Lesion And Its Restoration With Fiber-Post Supported Composite Resin: 5-Year Follow-Up

Abstract

In the teeth which are subject to severe crown damage that have lesion in periapical zone, treatment consists of multiple sessions and patients feel uncomfortable with their appearance due to missing teeth form the front group during their treatment process. In this paper healing with endodontic treatment, without surgical treatment, of the left maxillary central tooth with wide lesion in periapical zone due to excessive crown loss and longterm negligence in terms of treatment, as well as permanent restoration of the tooth with polyethylene fibre post using temporary composite tooth in order to prevent loss-of-tooth appearance has been managed. The 5-year follow-up examinations showed that the restorations were still in place and successful, the periradicular lesion showed satisfactory healing radiographically

Keywords

• periapical lesion, fiber post, root canal treatment

Total Kron Kaybı Olan Geniş Periapikal Lezyonlu Maksiller Santral Kesici Dişin Çok Seanslı Endodontik Tedavisi ve Fiber Post Destekli Kompozit Rezin İle Restorasyonu: 5 Yıllık Takip

Abstract

Aşırı kron harabiyetine uğramış, periapikal alanda lezyonu olan dişlerde, tedavi çok sayıda seanslardan oluşmakta ve hastalar tedavi süresince özellikle ön grup diş eksikliklerinde görünümlerinden rahatsız olmaktadır. Bu çalışmada, aşırı kron kaybı olan ve aynı zamanda uzun süre tedavi edilmeden beklediği için periapikal alanda geniş lezyonu olan maksiller sol santral dişin cerrahi tedavi olmaksızın endodontik tedavi ile iyileştirilmesi, seanslar sırasındaki dişsiz görünümü önlemek için geçici kompozit diş kullanılarak polietilen fiber post ile daimi restorasyonu amaçlanmıştır. 5 yıl sonraki kontrolde restorasyonların yerinde durduğu ve alınan radyografide lezyonun yeterince iyileştiği görüldü.

Keywords

• periapikal lezyon, fiber post, kök kanal tedavisi

References

1. Bilgin MS. Farklı post-core sistemlerinin iki farklı metod kullanılarak (Fraktür Analizi ve Sonlu Elemanlar Stres Analiz Yöntemi) değerlendirilmesi. Selçuk Ü Diş Hek Fak Doktora Tezi 2008.
2. Hudis SI, Goldstein GR. Restoration of endodontically treated teeth: a review of the literature. J Prosthet Dent 1986; 55: 33–8.
3. Smidt A, Venezia E. Techniques for immediate core buildup of endodontically treated teeth. Quintessence Int 2003; 34: 258–68.
4. Bayırlı G. Kök kanallarının temizlenmesi ve şekillendirilmesi, İ.Ü Basımevi ve film Merkezi, İstanbul, 1995,s.684–90.
5. Weiger R, Axmann-Kromar D, Lost C. Prognosis of conventional root canal treatment reconsidered. Endod Dent Traumatol 1998; 14:1-9.
6. Trope M, Langer I, Maltz D, Tornstad L. Resistance to fracture of restored endodontically treated premolars. Endod Dent Traumatol 1986; 2: 35-8.
7. Freilich MA, Meiers JC, Duncan JP, Goldberg AJ. Fiber-Reinforced Composites in clinical dentistry. Quintessence Publishing Co 2000; 9-22.
8. Ahlstrand WM, Finger WJ. Direct and indirect fiberreinforced fixed partial dentures: Case reports. Quintessence Int 2002; 33: 359-65.

9. Meiers JC, Freilich MA. Conservative anterior tooth replacement using fiber-reinforced composite. Operative Dentistry 2000; 25: 239-43.
10. Korkmaz T, Dayangaç L. Zirkonyum seramik post uygulaması. Cumhuriyet Üniversitesi Dişhekimliği Fakültesi Dergisi 1998;1:64-7.
11. Meyenberg KH, Lüthy H, Schaarer P. Zirconia posts: A new all-ceramic concept for nonvital abutment teeth. J Esthetic Dentistry, 1995;7:73
12. Zhang XH, Wang XZ. The evaluation of the carbon fiber post system on restoration of teeth defect in children. Chinese Medical J 2006;119:809-813.
13. Asmussen E, Peutzfeldt A, Heitmann T. Stiffness, elastic limit, and strength of newer types of endodontic posts. J Dent 1999;27:275-8.
14. Bhaskar SN. Nonsurgical resolution of radicular cysts. Oral Surg Oral Med Oral Pathol 1972;34:458-68.
15. Natkin E, Oswald RJ, Carnes LI. The relationship of lesion size to diagnosis, incidence and treatment of periapical cysts and granulomas. Oral Surg Oral Med Oral Pathol 1984;57:82-94.
16. Kim S H, Watts D C. Polymerization shrinkagestrain kinetics of temporary crown and bridge materials, J Prosthet Dent 2004; 20:88-85.
17. Diaz-Arnold A M, Dunne L T, Jones A H: Microhardness of provisional fixed prosthodontic materials. J Prosthet Dent 1999; 82:525-8.
18. Boberick KG, Bachstein T K: Use of a flexible east for the indirect fabrication of provisional restorations. J Prosthet Dent 1999; 82:90-3.
19. Caroline L, Tang-Minh N, Lise P: In vitro comparison of peak polymerization temperature of 5 provisional resins. J Cln Dent Assoc 2001;67:36-9.
20. Terzio:lu H, Akören C, Keskin Y: Mikrodalga akrilik ve konvansiyonel akriliklerin kaide diş bağlantısının farklı yüzey uygulamaları ile değerlendirmesi. AÜ Diş Hek Fak Derg 2002; 28:299-304.
21. Alaçam,T. Endodonti.G.Ü.Basın-Yayın Yüksekokulu Basımevi, Ankara,1990.
22. Baratieri LN, Monteiro SJr, Albuquerque FM. Reattachment of tooth fragment using a"new" adhesive system: A case report.Quinlessence Int 1994; 25:91-6.
23. Baratieri LN, Monteiro SJr, Andrada MAC. The sandwich technique as a base for reattachment of dental fragments. Ouintessence Int 1991; 22:81-5
24. Elaine A. Vilela Maia, Luiz Narciso Baratieri, Msura Amaral Caldeira de Andrada, et al. Tooth fragment rea lachment: Fundamentals of the technique and two case rpports Ouintessence Int 2003; 34:99
25. Cronin RJ, Wardle WL. Prosthodontic management of vertical root extrusion. The Journal of Prosthetic Dentistry. J Prosthet Dent 1981;46: 498-504.
26. Koyuturk AE, Malkoc S. Orthodontic extrusion of subgingivally fractured incisor before restoration. A case report: 3-years follow-up. Dent Traumatol 2005;21:174-8.
27. Bolhuis P, de Gee A, Feilzer A. Influence of fatigue loading on four post-and-core systems in maxillary premolars. Quintessence Int 2004; 35: 657–66
28. Bhaskar SN. Nonsurgical resolution of radicular cysts. Oral Surg Oral Med Oral Pathol 1972; 34: 458Natkin E, Oswald RJ, Carnes LI. The relationship of lesion size to diagnosis, incidence and treatment of periapical cysts and granulomas. Oral Surg Oral Med Oral Pathol 1984;57:82-94.
29. Simon JH. Incidence of periapical cysts in relation to the root canal. J Endod 1980;6:845-8.
30. Ramachandran Nair PN, Pajarola G, Schroeder HE. Types and incidence of human periapical lesions obtained with extracted teeth. Oral Surg Oral Med Oral Pathol 1996;81:93-102.
31. Chawia HS. Apical closure in a nonvital permanent tooth using one Ca(OH)2 dressing. J Dent Child 1986; 53: 44-7.
32. Frank AL. Therapy for the divergent pulpless tooth by continued apical formation. JADA 1966; 72: 8789
33. Madison S, Anderson RW. Medications and temporaries in endodontic treatment. The Dental Clinics of North America 1992; 36: 343-355.
34. Heithersay GS. Stimulation of root formation in incompletely developed pulpless teeth. Oral Surg. Oral Med. Oral Pathol 1970; 29: 620-630.
35. Tronstad L.. Andreasen JO, Hasselgren G, et ai. PH changes in dental tissues after root canal filling with calcium hydroxide. J. Endod. 1981; 7: 17-21. Shah N. Nonsurgical management of periapical lesions: a prospective study. Oral Surg Oral Med Oral Pathol 1988;66: 365-71.
36. Morse DR, Bhambhani SM. A dentist’s dilemma: nonsurgical endodontic therapy or periapical surgery for teeth with apparent pulpal pathosis and an associated periapical radiolucent lesion. Oral Surg Oral Med Oral Pathol 1990;70:333-40.
37. Gracis S, Fradeani M, Celletti R, Braccahetti G. Biological integration of aesthetic restorations: factors influencing appearance and long-term success Periodontology 2000 2001; 27:29-44.
38. Korkmaz T, Dayangaç L. Zirkonyum seramik post uygulaması. Cumhuriyet Üniv Diş Fak Derg 1998; 1: 64Meyenberg KH, Lüthy H, Schaarer P. Zirconia posts: A new all-ceramic concept for nonvital abutment teeth. J Esthetic Dentistry 1995;7:73-80. Zalkind M, Hochman N. Esthetic considerations in restoring endodontically treated teeth with posts and cores. J Prosthet Dent 1998a;79:702-5.
39. Burke FJT. Reattactment of fractured central incisor tooth fragment. Br Dent J 1991;170:223-5. Pest B, Cavalli G, Bertani P, Gagliani M. Adhesive postendodontic restorations with posts: Push-out test and SEM observations. Dent Mater 2002; 18: 596-60
40. Yanıkoğlu N, Bayındır F. Post-core yapımında kullanılan restoratif materyaller ve özellikleri. Atatürk Üniv Diş Hek Fak Derg 2003-2004; 1314:39-47.
41. Say EC, Özel E. Travma sonucu meydana gelen ön diş kuron kırıklarının restorasyonu. Türk Diş Hek Derg 2006;63:15-21.
42. Holmes DC, Diaz-Arnold AM, Leary JM. Influence of post dimensions on stress distrubition in dentin. J Prosthet Dent 1996;75:140-7.
43. Erkut S, Eminkahyagil N, Imirzalioglu P, Tunga U. A technique for restoring an overflared root canal in an anterior tooth. J Prosthet Dent 2004;92:581 Yazışma Adresi
44. Yrd. Doç. Dr. Engin AĞAÇKIRAN Dicle Üniversitesi Dişhekimliği Fakültesi Pedodonti Anabilim Dalı DİYARBAKIR Telf: 0 506 947 16 74 e-mail: [e-mail]