Whitepost System fiberglass post are great options for restoring function and aesthetics to both the front and back teeth. Check out the full clinical case below.
Authors: Prof. Dr. Carlos José Soares, Dr. Maria Tereza Hordones Ribeiro, Dr. Lilibeth Carola Leyton Mendoza, Dr. Thiago Silva Peres, Dr. Calebe de Melo, Dr. Maribí Terán Lozada, and Dr. Fábio Henrique de Paulo Costa Santos.
MALE PATIENT, 37 YEARS OLD
He was dissatisfied with the aesthetics of his smile.
Initial evaluation
A patient with a stabilized leukemia condition sought dental treatment. After supportive periodontal treatment and preventive protocols, the left upper canine presented extensive caries lesions with endodontic involvement.
Treatment performed with fiberglass post
Endodontic treatment was performed using rotary tools, filling with endodontic cement based on epoxy resin, and then provisional restoration with Maxxion R glass ionomer cement. In the rehabilitation planning, a Whitepost System post cemented with the combination of Ambar Universal APS adhesive system and Allcem Core cement was used, which was also used to reconstruct the cavity preparation.
The final restoration was performed with CAD-CAM crown with Brava Block glass-ceramic resin block, cemented with Allcem Core cement. Ultimately, the patient was also submitted to dental whitening with Whiteness HP Maxx.
The result provided full patient satisfaction with reports of contributing to self-esteem at such an important time for patients recovering from such an impactful systemic problem
Step by step
1 | Lateral intraoral image on the left side, showing provisional restoration on the canine tooth 23.
2 | Initial periapical radiograph of tooth 23 showing fracture and decayed tissue reaching the pulp, justifying the need for endodontic treatment.
3 | Periapical radiography after endodontic treatment of tooth 23 with provisional restoration justifying the need for endodontic treatment.
4 | The Lateral intraoral image on the left side shows provisional restoration in the canine tooth 23.
5 | Gutta-percha relief using Gates and Largo drills compatible with root canal diameter, maintaining 5 mm of gutta percha in the apical portion of the root canal.
6 | Use of a specific drill of the Whitepost System DCE 2 post that best suited the diameter of the root canal respecting the relieved length.
7 e 8 | Test of the fiberglass post and verification of the relieved length compatible with the extension of the post inside the root canal.
9 | Application of 70% alcohol to clean the fiberglass post.
10 | Use of the bonding agent Prosil with Cavibrush for application on the fiberglass post.
11 | Active application of Prosil for one minute on the entire post surface.
12 | Irrigation with 2.5% sodium hypochlorite solution and 17% EDTA for root canal cleaning.
13 | Use of Easy Clean plastic tip to clean the canal with EDTA.
14 | Final irrigation with distilled water
15 | Use of an endodontic aspirator to remove water from the root canal, followed by moisture removal with absorbent paper.
16 | Application of the Ambar Universal APS adhesive system inside the root canal with long Cavibrush.
17 | Removal of excess adhesive with absorbent paper cones. This step is extremely important to prevent the thick adhesive layer from getting in the way of the correct seating of the fiberglass post the root canal.
18 | Photoactivation for 20 seconds with light-curing tip protected with PVC film positioned as close as possible to the canal entrance.
19 | Application of the Allcem Core dual resin cement inside the root canal using the mixing and applicator tips.
20 | Insertion of the Whitepost System DCE 2 post into the root canal at the previously defined length
21 | Agility in making the filling core, allowing definition of the shape, which facilitates the preparation phase of the remnant.
22 | After five minutes of mixing the dual cement, photoactivation was performed for 40 seconds.
23 | Preparing for a full crown.
24 | Provisional aspect in acrylic resin after cementation and removal of excess provisional cement.
25 | Color selection for the subsequent making of CAD-CAM crown in Brava Block glass-ceramic resin.
26 | Crown in Brava Block composite resin after milling.
27 | Internal surface blasting with 50-micron aluminum oxide blasting for 20 seconds.
28 | Application of Prosil silane inside the Brava Block crown.
29 and 30 | Dental etching with Condac 37 and application of the Ambar Universal APS adhesive system in dental preparation with photoactivation of the adhesive system for 10 seconds.
31 | Insertion of Allcem Core dual resin cement inside the crown.
32 | Crown cementation showing correct overflow of resin cement.
33 | Checking and certifying the correct point of contact.
34 | In-office whitening using Whiteness HP Maxx (three 15-minute applications) to harmonize final tooth color and indirect restoration.
35 | Initial aspect.
36 | Final smile.
Whitepost System está entre os 20 melhores pinos de fibra de vidro do mundo
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