Authors : Dr. Sadashiv Daokar; Dr. Aishwarya Ranjalkar; Dr. Kalpana Pawar; Dr. Kshama Sarak

Volume/Issue : Volume 9 - 2024, Issue 6 - June

Google Scholar : https://rb.gy/r0qbug

Scribd : https://rb.gy/w7bfdc

DOI : https://doi.org/10.38124/ijisrt/IJISRT24JUN238

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Abstract : Aim: The purpose of this case report is to detail a procedure for fortifying the coronal structure of a tooth using horizontal fiberglass posts positioned buccolingually within a composite resin core post- endodontic therapy.  Methodology: Patients having carious premolar and molar teeth having caries on mesial and distal aspect of crown with radiographic interpretation as radiolucency involving enamel, dentin and pulp, which are indicated for pulpectomy and are having buccal and lingual/ palatal noncarious intact walls, were selected. Root canal therapy was carried out under rubber dam isolation. Space was created on buccal and lingual/ palatal wall, followed by horizontal post placement. Composite core buildup was carried out. Follow-up recorded.  Conclusion: This case report provides a comprehensive account of the insertion of horizontal posts in molars and premolars following endodontic treatment, aiming to strengthen the coronal structure and improve resistance against fractures.

Keywords : Fiberglass Posts; Fracture Resistance; Horizontal Posts; Coronal Structure; Endodontically Treated Teeth.

References :

1. Pratt I, Aminoshariae A, Montagnese TA, et al. Eight-year retrospective study of the critical time lapse between root canal completion and crown placement: its influence on the survival of endodontically treated teeth. J Endod 2016;42:1598–603.
2. Clark D, Khademi J. Modern molar endodontic access and directed dentin conservation. Dent Clin North Am 2010;54:249–73
3. Salameh Z, Sorrentino R, Papacchini F, et al. Fracture resistance and failure patterns of endodontically treated mandibular molars restored using resin composite with or without translucent glass fiber posts. J Endod 2006;32:752–5
4. Scotti N, Forniglia A, Tempesta RM, et al. Effects of fiber-glass-reinforced composite restorations on fracture resistance and failure mode of endodontically treated molars. J Dent 2016;53:82–7.
5. Karzoun W, Abdulkarim A, Samran A, et al. Fracture strength of endodontically treated maxillary premolars supported by a horizontal glass fiber post: an in-vitro study. J Endod 2015; 41:907–12.
6. Beltrao MC, Spohr AM, Oshima HM, et al. Fracture strength of endodontically treated molars transfixed horizontally by a fiber glass post. Am J Dent 2009;22:9–13.
7. Favero FJ, De Melo TA, Stona D, et al. Strengthening effect of horizontally placed fiberglass posts in endodontically-treated teeth restored with direct resin composite. Am J Dent 2015;28:143–9.
8. Bromberg CR, Alves CB, Stona D, et al. Fracture resistance of endodontically treated molars restored with horizontal fiberglass posts or indirect techniques. J Am Dent Assoc 2016;147:952–8.
9. Boren DL, Jonasson P, Kvist T. Long-term survival of endodontically treated teeth at a public dental specialist clinic. J Endod 2015;41:176–81.
10. Dammaschke T, Steven D, Kaup M, Ott KH. Long-term survival of root canal treated teeth: a retrospective study over 10 years. J Endod 2003;29:638–43.
11. Zadik Y, Sandler V, Bechor R, et al. Analysis of factors related to extraction of endodontically treated teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;106:31–5.
12. Ng YL, Gulabivala K. A prospective study of the factors affecting outcomes of non-surgical root canal treatment: part 2—tooth survival. Int Endod J 2011;44:610–25.