PMC4212644_01
Preoperative clinical picture showing grossly decayed teeth 51, 52, 61, and 62.
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Clinically, 51, 52, 54, 61, 62, 64, 65, 73, 74, 75, 84, and 85 were found to be carious with loss of crown structure (Figure 1).
Preoperative radiograph showing teeth 51, 52, 61, and 62.
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Intraoral periapical radiograph shows the involvement of pulp in relation to 51, 52, 61, and 62 (Figure 2).
Postobturation radiograph in relation to 51, 52, 61, and 62.
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Obturation was done with calcium hydroxide (Metabiomed, Metapex) after debridement of the canal (Figure 3).
Fabrication of post and core step 1: 1.5 inch 19 gauge wire is bent to an inverted u shape.
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A 19-gauge orthodontic wire, 1.5 inch in length, is bent using a universal plier as shown in Figure 4.
Fabrication of post and core: one of the arms' is bent downwards and turned to the opposite side.
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Bend one of the arms downwards and turn it to the opposite side (Figure 5).
Fabrication of post core: procedure in Figure 5 repeated with the other arm.
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Repeat the same procedure for the other arm (Figure 6).
Fabrication of post core: bend the free end upwards and cut the excess to form an anchor shape.
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Bend the free end of the arms towards the curved end (Figure 7).
Clinical photographs with postinserted in 51, 61.
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The post is placed in the prepared root canal and checked for adaptation (Figure 8).
Clinical photograph of coronal build in relation to 51.
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Supreme Ultra Flowable Restorative flowable composite is used to fill the root canal space. Filtek Supreme Ultra Universal Restorative nano-filled composite was used to build up the coronal part in incremental technique (Figures 9 and 10). Strip or polycarbonate crown can be used alternatively for the crown portion.
Postoperative clinical photograph.
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Supreme Ultra Flowable Restorative flowable composite is used to fill the root canal space. Filtek Supreme Ultra Universal Restorative nano-filled composite was used to build up the coronal part in incremental technique (Figures 9 and 10). Strip or polycarbonate crown can be used alternatively for the crown portion.
Postoperative clinical photograph after 6 months.
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The recall visits at 3 and 6 months have shown clinically satisfactory results with no mobility or fracture of the tooth (Figure 11).