Clinical management of tooth #1.5 with endopost and crown lengthening: a comprehensive restorative approach
Keywords:
ALARGAMIENTO DE CORONA; CORONA DEL DIENTE; ODONTOLOGÍA; REHABILITACIÓN.; CROWN LENGTHENING; TOOTH CROWN; DENTISTRY; REHABILITATION.; AUMENTO DA COROA CLÍNICA; COROA DO DENTE; ODONTOLOGIA; REABILITAÇÃO.Abstract
Introduction: the rehabilitation of endodontically treated teeth constitutes a relevant clinical challenge, since the loss of coronal structure compromises functionality and aesthetics, requiring interdisciplinary approaches to ensure long-lasting results.
Objective: to present a clinical case of comprehensive rehabilitation of tooth #1.5 through crown lengthening, endodontic treatment, and restoration with post-and-core crown.
Case presentation: the management of a 55-year-old female patient with a crown-root fracture in the upper right first premolar, accompanied by gingival hyperplasia and irreversible pulp involvement, is described. The therapeutic plan included crown lengthening surgery to expose the remaining dental structure, followed by endodontic treatment with root canal obturation and placement of a fiberglass post. Subsequently, the core was prepared and a zirconia crown cemented with dual resin was fabricated, ensuring marginal adaptation and biomechanical stability. The surgical procedure involved incision, flap elevation, osteotomy, and suturing, with adequate healing at seven days. Complementary examinations confirmed the need for comprehensive rehabilitation, including replacement of defective restorations and planning of implants for missing teeth. The final outcome showed functional and aesthetic recovery, with improvement in mastication, periodontal stability, and patient satisfaction.
Conclusions: the case demonstrates that the combination of crown lengthening and rehabilitation with post-and-core crown is an effective alternative for compromised teeth. Interdisciplinary collaboration between periodontics, endodontics, and oral rehabilitation was decisive in achieving stable and aesthetic results, highlighting the importance of rigorous protocols and clinical follow-up to ensure long-term success.
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1. Sevimli G, Cengiz S, Oruc MS. Endocrowns: review. J Istanb Univ Fac Dent [Internet]. 29 de abril de 2015 [citado 29/07/2024]; 49(2): 57-63. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5573486/
2. Calle-Calle NE, Cuesta-Nieto EP. Endocorona, un enfoque diferente en rehabilitación oral. Rev Inf Cient [Internet]. 2021 [citado 29/07/2024]; 100(6): e3537. Disponible en: http://www.revinfcientifica.sld.cu/index.php/ric/article/view/3537
3. Matsumoto W, Antunes RP de A, Fernandes RM, Orsi IA, Hotta TH. Ultraconservative fixed partial denture: esthetic and preservation of dental structure. RGO - Rev Gaúcha Odontol [Internet]. junio de 2014 [citado 29/07/2024]; 62(2): 173-5. Disponible en: https://www.scielo.br/j/rgo/a/D9mpbDZnSgZB83KZBP4Q7Qn/?lang=en
4. Puig MÁI. Restauraciones de recubrimiento parcial indirectas adheridas en sectores posteriores: indicaciones actuales. Rev-Int-Protesis [Internet]. 2020 [citado 29/07/2024]; 22(2). Disponible en: https://clinicamaip.com/wp-content/uploads/2020/09/2020-Iglesia-Puig-MA-Rev-Int-Protesis-Indicaciones-incrustaciones_compressed.pdf
5. Alvarado-Núñez A, Ramírez-Duarte S, Nieto-Ramírez A, García-Contreras R. Alargamiento de corona estético previo a rehabilitación protésica. Informe de caso. Rev Clínica Periodoncia Implantol Rehabil Oral [Internet]. diciembre de 2018 [citado 29/07/2024]; 11(3): 170-2. Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0719-01072018000300170&lng=en&nrm=iso&tlng=en
6. Aguelo CB, Rico JM, Molano PE. Pre prosthetic crown lengthening: an esthetic and functional procedure. A case report. Rev Estomatol [Internet]. 2010 [citado 29/07/2024]; 18(2): 23-6. Disponible en: https://estomatologia.univalle.edu.co/index.php/revista_estomatologia/article/view/5714
7. Zavanelli A, Falcón-Antenucci R, Dos Santos Neto O, Zavanelli R, Mazaro J. Aspectos relevantes para el éxito en la cementación de los pernos fibra de vidrio. Av En Odontoestomatol [Internet]. septiembre de 2022 [citado 29/07/2024]; 38(3): 109-16. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0213-12852022000300004&lng=es&nrm=iso&tlng=es
8. Castro-Aguilar EG, Matta-Morales CO, Orellana-Valdivieso O. Consideraciones actuales en la utilización de coronas unitarias libres de metal en el sector posterior. Rev. Estomatol. Herediana [Internet]. 2014 Oct [citado 29/07/2024]; 24(4): 278-286. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1019-43552014000400010&lng=es.
9. Bachiller Calderón Bustamante JL. REHABILITACIÓN ORAL CON PRÓTESIS
FIJA PARA UNA MEJOR CALIDAD DE LA SALUD BUCAL, REPORTE DE CASO CLÍNICO [Tesis]. HUANCAYO – PERÚ; 2022 [citado 29/07/2024]. Disponible en: https://repositorio.upla.edu.pe/bitstream/handle/20.500.12848/4580/TRABAJO%20DE%20SUFICIENCIA%20PROFESIONAL.pdf?sequence=1&isAllowed=y
10. Muñico Quispe R. TRATAMIENTO CON PERNO DE FIBRA DE VIDRIO Y CORONA DE PORCELANA EN UN DIENTE ENDODONCIADO [Tesis]. HUANCAYO – PERÚ; 2021 [citado 29/07/2024]. Disponible en: https://repositorio.upla.edu.pe/bitstream/handle/20.500.12848/2993/TRABAJO%20DE%20SUFICIENCIA%20PROFESIONAL.pdf?sequence=1&isAllowed=y
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