Abstract

The fracture of anterior teeth after root canal treatment is a real and multifactorial possibility. This is due to the weakening of the root due to lost of the remaining tooth added to oblique-existing occlusal forces. This fracture in addition to causing a masticatory dysfunction, will also influence the aesthetics of the patient. In prevention, one of the treatments used and widely accepted, is the use of intraradicular. These can be made of metal, carbon fiber, fiberglass and ceramics. The pins of metal and carbon fiber are very efficient but don't favor the aesthetic, as the pins fiberglass and ceramics are very resistant and favor aesthetics. Reinforcing with these biomaterials is beneficial and leads to a favorable prognosis. This study shows a case which the building could have prevented the intracanal fracture of an devitalized upper anterior tooth and makes a brief discussion about the available options for this type of rehabilitation. The use of reinforced glass fiber as reinforcement of the structure of devitalized teeth is indicated for the prevention of dental fractures. Cast ceramic cores are indicated for the insufficient coronary remaining to support the filling material.

Highlights

  • Anterior tooth fracture after endodontic treatment is a real and multifactorial possibility because of root weakening due to tooth structure remnant loss and existing oblique occlusal forces

  • The final outcome results from the use of specific operative proceduresand dental materials, comprising conservative endodontic treatments, esthetic intracanal posts, resin composite and metal-free ceramic systems

  • Considering the intracanal post diversity, the aim of this study was to report a clinical case in which intracanal post reinforcement in anterior teeth could have prevented the crown fracture in addition to the treatment performed after the fracture

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Summary

Intracanal post reinforcement in anterior teeth to prevent fractures

Uso do reforço intracanal em dentes anteriores na prevenção de fraturas tardias Simone Helena Gonçalves OLIVEIRA1, Lilian Costa ANAMI1, Tânia Mara SILVA1, Rodrigo Simões OLIVEIRA1,2, Ana Luisa Leme Simões SALES1, Alberto Alvarenga OLIVEIRA3 1 – Department of Restorative Dentistry – School of Dentistry – Institute of Science and Technology – UNESP – Univ Estadual Paulista – São José dos Campos – SP – Brazil. – Department of Dentistry of University of Severino Sombra – Vassouras – RJ – Brazil. – APCD – São José dos Campos – SP – Brazil

BRIEF LITERATURE REVIEW
DESCRIPTION OF CASE
DISCUSSION
Findings
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