image/svg+xml2021Timothée Giet
1

Endodontic retreatment with removal of a fractured instrument fragment

Endodontic retreatment with removal of a fractured instrument fragment
Complaints:
Persistent pain upon biting associated with tooth 4.7.
Diagnosis:
Apical periodontitis of tooth 4.7.
Treatment:
Following professional dental cleaning and comprehensive diagnostics (CT scan and periapical radiography), endodontic treatment was performed under STA computer-assisted local anesthesia with rubber dam isolation. The old filling, remnants of filling material, and caries-affected tissues were removed, and under a Leica M320 operating microscope, the root canals were retreated and the fractured instrument fragment was successfully removed. The canals were prepared to the physiological apices using NiC and SOCO instruments and then hermetically sealed with warm gutta-percha. The tooth was restored with Estelite Asteria composite material, and the treatment was completed with a full-contour Multilayer Esthetics zirconia crown featuring individualized staining.

In this clinical case, the patient presented with persistent pain when biting in the area of tooth 4.7.

The examination revealed apical periodontitis of tooth 4.7.

For treatment planning, professional dental cleaning, a CBCT scan, and a periapical radiograph were performed.

Endodontic treatment was carried out under STA computer-assisted anesthesia with rubber dam isolation. Using a Leica M320 dental microscope, the root canals were retreated, a fractured instrument fragment was removed, and the canals were mechanically and chemically prepared before being hermetically filled with warm gutta-percha.

After treatment, the tooth was restored with Estelite Asteria composite material and a full-contour Multilayer Esthetics zirconia crown was placed.

Result:

The inflammatory process has been eliminated, the tooth preserved, and chewing function restored.

Learn more about our clinic and advanced dental treatment options by following this link.

Who performed the treatment:

The endodontic stage was performed by dentist-therapist
Shyta Diana

Shyta Diana

The periodontal stage was performed by periodontist
Filipenko Daria

Filipenko Daria

The prosthetic stage was performed by prosthodontist
Haidaienko Oleksandr

Oleksandr Haidaienko

Смотреть также
View More
Root canal retreatment with removal of a fractured instrument and zirconia crown
In this case, the patient was referred for root canal retrea...
Root canal retreatment with a fractured instrument and zirconia crown
In this clinical case, the patient presented with tooth pain...
Root canal retreatment for apical periodontitis
In this clinical case, the patient presented with pain when ...
Free consultation Free consultation
This is a required field

Free online consultation