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Case DentalDate

Treatment of a tooth with a defective filling and secondary caries: buildup without a post

The patient came to the clinic with a complaint of destruction of the upper tooth on the right side, food sticking.
Objectively: unusable filling on the occlusal and mesial contact surfaces of tooth 1.6. Its marginal adherence is disturbed, secondary caries. Percussion was painless.

Dr. Vera Demidova
Dr. Vera Demidova

General dentist, Endodontist

CBCT and scope images were taken, where it was revealed that the tooth had been previously treated endodontically in another clinic many years ago. The patient underwent endodontic re-treatment of the tooth followed by its reconstruction under a crown, which we call a build-up.

Due to the fact that the tooth was primarily treated many years ago. The tooth walls are destroyed by half of the crown part of the tooth and they are brittle, (losing pulp tooth loses elasticity) such teeth are recommended to cover with a crown to avoid their destruction and loss. But before that, their therapeutic reconstruction is performed – restoration of missing walls from composite material – buildup. When more than 50% of the crown portion of the tooth is destroyed, a build-up is done using an intra-root post.

In this case, the remaining tissue was sufficient. To make a build-up without a post.