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Apical periodontitis treatment with zirconia crown restoration

Apical periodontitis treatment with zirconia crown restoration
Complaints:
Dental floss tearing when passing between teeth 1.5, 1.6, and 1.7.
Diagnosis:
Apical periodontitis of tooth 1.6.
Treatment:
A comprehensive diagnostic examination was performed, including a CT scan, periapical radiography, and professional dental cleaning. Treatment was carried out under STA computer-assisted local anesthesia with rubber dam isolation. The old restoration, filling material remnants, and carious tooth tissues were removed. Under the control of a Seiler Evolution XR6 operating microscope, root canal retreatment was performed, followed by mechanical and chemical canal preparation, ultrasonic activation of irrigating solutions, and hermetic obturation using the warm gutta-percha technique. After the endodontic treatment, the tooth was restored with Estelite Asteria composite material, digitally scanned, and rehabilitated with a full-contour Multilayer Esthetics zirconia crown featuring individualized staining.

In this clinical case, the patient presented with complaints of dental floss tearing when passing between teeth 1.5, 1.6, and 1.7, indicating defects in the existing restoration and possible underlying pathological changes.

During the examination and CBCT scan of the jaws, apical periodontitis of tooth 1.6 was diagnosed.

For treatment planning, comprehensive diagnostics were performed, including a CBCT scan, periapical radiography, and professional dental cleaning. Treatment was carried out under STA computer-assisted anesthesia with rubber dam isolation.

After removal of the old restoration, residual filling material, and carious tissues, root canal retreatment was performed under the control of a Seiler Evolution XR6 operating microscope. Mechanical and chemical preparation of the root canal system was carried out, followed by ultrasonic-activated irrigation. The canals were then hermetically sealed using the warm gutta-percha 3D obturation technique.

Following endodontic treatment, the tooth was restored with Estelite Asteria composite material. The final stage included digital scanning, fabrication, and placement of a Multilayer Esthetics zirconia crown with individual staining.

Result:

The source of infection was eliminated, the tooth’s function was restored, and a long-term aesthetic result was achieved.

Curious about our treatments? Learn more about our clinic here.

Who provided the treatment:

The endodontic stage was performed by dentist-therapist, endodontist
Shyta Diana

Shyta Diana

Periodontal support was provided by periodontist
Dashkovska Daria

Dashkovska Daria

The orthopedic stage was performed by prosthodontist
Shentsev Roman

Shentsev Roman

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