Prof Fadi Jarad
Mrs B was experiencing a slight discomfort and abscess from the upper right first molar (UR6) for over six months. Following clinical and radiographic examination, a diagnosis of a chronic periapical (around the root) abscess was made.
The treatment options of extraction versus root canal treatment with an investigation of the tooth for any cracks under the microscope were discussed. The predicted survival of root canal treatment is relatively high at around 80-90% over 10 years.
Once the root was obturated (filled) an indirect restoration (crown) was needed to help maintain the tooth in function and ensure the tooth remained asymptomatic with good coronal seal. The current evidence indicates that the outcome of Endodontic treatment is affected by the coronal seal.
The key to successful Endodontics is full consideration of the patient and an in depth understanding that Endodontics is not just about with white lines and dark shadows.
UR6 with apical pathology, curved root & deep filling
Master Cone radiograph
Radiograph of UR6 root canal filling and core
Occlusal view of UR6 crown preparation
Buccal view of UR6 crown preparation
Imprint4 fast Putty
Protemp 4 crown before trimming
Protemp 4 temporary crown
Occlusal view of UR6 with temporary crown
Imprint 4 heavy body and light body of the UR6 preparation
Impression with Position Penta of the lower arch
Trimmed and section model
Lave Aesthetic Crown UR6 on plaster model
Lava Aesthetic with sandblasted fitting surface
Occlusal view of the UR6 Lava aesthetics crown
Buccal view of the UR6 crown
Periapical radiograph of the UR6 crown marginal fit