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Crown and Post Removal on a Second Mandibular Premolar

October 15, 2009 By Dr Pierre Pizem Leave a Comment

Dental Operative Microscope and Retreatment, Dealing with Casted and Machined Posts Removal, Root Canal Treatment Pre-Therapy 432835-1Dental Operative Microscope and Retreatment, Dealing with Casted and Machined Posts Removal, Root Canal Treatment Per-Therapy 432835-1Dental Operative Microscope and Retreatment, Dealing with Casted and Machined Posts Removal, Root Canal Treatment Per-Therapy 432835-2Dental Operative Microscope and Retreatment, Dealing with Casted and Machined Posts Removal, Root Canal Treatment Post-Therapy 432835-1

Case Study Number 432835

Persistent disease on second mandibular premolar. Tooth decay on abutment. Risks of post removal include: fracture of the tooth, leaving the tooth non restorable, root perforation, post breakage, and inability to remove the post. An additional concern is ultrasonically generated heat damage to the periodontium. Therefore, an apicoectomy and retrofilling or an extraction and replacement with an implant or a fixed prosthesis is a treatment option before initiating the retreatment. Post has been removed in 20 minutes.The use of ultrasonic energy for short periods and water cooling to prevent excessive amount of heat generation proved to be most efficient in this case. A casted post and a new crown are planned.

Filed Under: Dental operative microscope and retreatment, NEW CASES, Dealing with casted and machined posts removal

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