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Clinical Report| Volume 129, ISSUE 5, P684-689, May 2023

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Guided removal of a fractured fiber post and immediate restoration with a digitally prefabricated titanium post-and-core and zirconia crown: A clinical report

  • Ruolan Liu
    Affiliations
    Graduate student, State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Disease, West China Hospital of Stomatology, Sichuan University, Chengdu, PR China
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  • Chenyang Xie
    Affiliations
    Graduate student, Department of Dental Technology, West China Hospital of Stomatology, Sichuan University, Chengdu, PR China
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  • Manlin Sun
    Affiliations
    Graduate student, State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Disease, West China Hospital of Stomatology, Sichuan University, Chengdu, PR China
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  • Haiyang Yu
    Correspondence
    Corresponding author: Dr Haiyang Yu, Department of Prosthodontics, West China Hospital of Stomatology, Sichuan University, 14 Renmin South Road, 3rd Section, Chengdu, Sichuan 610041, PR CHINA
    Affiliations
    Professor, State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Disease, West China Hospital of Stomatology, Sichuan University, Chengdu, PR China
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Published:September 01, 2021DOI:https://doi.org/10.1016/j.prosdent.2021.07.017

      Abstract

      A completely digital workflow is described for the immediate restoration of a fractured fiber post with a digitally prefabricated definitive restoration using 3-dimensionally printed guides. The geometric morphology and axis of the root canal were digitally determined by using cone beam computed tomography to localize the 3-dimensional position of the fractured fiber post. A virtual drill modeled on the shape of the fractured post was fabricated and customized for removal of the post by using a guide to facilitate the intraoral transfer of the drilling procedure. A titanium post-and-core and crown had been virtually predesigned and fabricated before the procedure, and 2 digital guides were designed for their placement. All guides were 3-dimensionally printed. By following this workflow, the removal of the fractured fiber post and immediate definitive restoration were completed in 1 visit, facilitating a more efficient, predictable, and straightforward treatment.
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      References

        • Qing H.
        • Zhu Z.
        • Chao Y.
        • Zhang W.
        In vitro evaluation of the fracture resistance of anterior endodontically treated teeth restored with glass fiber and zircon posts.
        J Prosthet Dent. 2007; 97: 93-98
        • Karzoun W.
        • Abdulkarim A.
        • Samran A.
        • Kern M.
        Fracture strength of endodontically treated maxillary premolars supported by a horizontal glass fiber post: an in vitro study.
        J Endod. 2015; 41: 907-912
        • Parisi C.
        • Valandro L.F.
        • Ciocca L.
        • Gatto M.R.
        • Baldissara P.
        Clinical outcomes and success rates of quartz fiber post restorations: a retrospective study.
        J Prosthet Dent. 2015; 114: 367-372
        • Sorensen J.A.
        • Martinoff J.T.
        Clinically significant factors in dowel design.
        J Prosthet Dent. 1984; 52: 28-35
        • Naumann M.
        • Schmitter M.
        • Krastl G.
        Postendodontic restoration: endodontic post-and-core or no post at all?.
        J Adhes Dent. 2018; 20: 19-24
        • Mamoun J.
        Post and core build-ups in crown and bridge abutments: bio-mechanical advantages and disadvantages.
        J Adv Prosthodont. 2017; 9: 232-237
        • Magne P.
        • Lazari P.C.
        • Carvalho M.A.
        • Johnson T.
        • Del Bel Cury A.A.
        Ferrule-effect dominates over use of a fiber post when restoring endodontically treated incisors: an in vitro study.
        Oper Dent. 2017; 42: 396-406
        • Soares C.J.
        • Valdivia A.D.
        • da Silva G.R.
        • Santana F.R.
        • Menezes Mde S.
        Longitudinal clinical evaluation of post systems: a literature review.
        Braz Dent J. 2012; 23: 135-140
        • Carvalho M.A.
        • Lazari P.C.
        • Gresnigt M.
        • Del Bel Cury A.A.
        • Magne P.
        Current options concerning the endodontically-treated teeth restoration with the adhesive approach.
        Braz Oral Res. 2018; 32: e74
        • Dickie J.
        • McCrosson J.
        Post removal techniques part 1.
        Dent Update. 2014; 41 (495-8): 490-492
        • Aydemir S.
        • Arukaslan G.
        • Saridag S.
        • Kaya-Buyukbayram I.
        • Ylidiran Y.
        Comparing fracture resistance and the time required for two different fiber post removal systems.
        J Prosthodont. 2018; 27: 771-774
        • Perez C.
        • Finelle G.
        • Couvrechel C.
        Optimisation of a guided endodontics protocol for removal of fibre-reinforced posts.
        Aust Endod J. 2020; 46: 107-114
        • Maia L.M.
        • Moreira Junior G.
        • Albuquerque R.C.
        • de Carvalho Machado V.
        • da Silva N.
        • Hauss D.D.
        • et al.
        Three-dimensional endodontic guide for adhesive fiber post removal: a dental technique.
        J Prosthet Dent. 2019; 121: 387-390
        • Schwindling F.S.
        • Tasaka A.
        • Hilgenfeld T.
        • Rammelsberg P.
        • Zenthofer A.
        Three-dimensional-guided removal and preparation of dental root posts-concept and feasibility.
        J Prosthodont Res. 2020; 64: 104-108
        • Moreno-Rabie C.
        • Torres A.
        • Lambrechts P.
        • Jacobs R.
        Clinical applications, accuracy and limitations of guided endodontics: a systematic review.
        Int Endod J. 2020; 53: 214-231
        • Zehnder M.S.
        • Connert T.
        • Weiger R.
        • Krastl G.
        • Kuhl S.
        Guided endodontics: accuracy of a novel method for guided access cavity preparation and root canal location.
        Int Endod J. 2016; 49: 966-972
        • Yu H.
        • Zhao Y.
        • Li J.
        • Luo T.
        • Gao J.
        • Liu H.
        • et al.
        Minimal invasive microscopic tooth preparation in esthetic restoration: a specialist consensus.
        Int J Oral Sci. 2019; 11: 31
        • Flugge T.V.
        • Att W.
        • Metzger M.C.
        • Nelson K.
        Precision of dental implant digitization using intraoral scanners.
        Int J Prosthodont. 2016; 29: 277-283
        • Derksen W.
        • Wismeijer D.
        • Flugge T.
        • Hassan B.
        • Tahmaseb A.
        The accuracy of computer-guided implant surgery with tooth-supported, digitally designed drill guides based on CBCT and intraoral scanning. A prospective cohort study.
        Clin Oral Implants Res. 2019; 30: 1005-1015