Access surgery for fixed prostheses... Endodontics in prosthetic crowns.
Patient referred for endodontic treatment of teeth 13 and 23, as part of plans for prosthetic rehabilitation with fixed prosthesis.
Endodontic treatment was chosen without removing the provisional prosthesis, with access and isolation through the crown.
Case carried out by student Luis Roberto Maciel, specializing in endodontics at APCD Bragança Pta.
In: Allgayer & Vani. Intraradicular core removal followed by endodontic retreatment: 13-year follow-up. RSBO Revista Sul-Brasileira de Odontologia 8.1 (2011): 108-113.
Introduction
In today's endodontic practice, the science of diagnosis is the fundamental basis for therapeutic institution and the consequent indication of treatment. The clinical diagnosis of pulp and periapical pathological alterations based on knowledge, experience, semiological and radiographic data and, above all, the professional's clinical sense, will enable effective planning of the procedure and, consequently, a very favorable prognosis.
Endodontic failure is usually due to technical and pathological factors or influenced by systemic factors. The prevention of future complications arising from the maintenance of unsatisfactory endodontic treatment in a tooth that will be fitted with a fixed prosthesis with an intraradicular post,
imposes the immediate indication of root canal clearance and justifies the need for
retreatment. Strictly speaking, every tooth, pulped or not, has its importance in the stomatognathic system. In many cases, the tooth is so valuable that removing it would make certain conditions and solutions even more complicated.
Endodontics in prosthetic crowns. Adaptation for odontometry.
