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All Journal Conservative Dentistry Journal Jurnal of Syiah Kuala Dentistry Society
Sri Kunarti
Unknown Affiliation
Dentistry Medicine & Pharmacology

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REMOVAL OF A FRACTURED POST AND RETREATMENT: CASE REPORT Fahmi Mulya; Sri Kunarti
Journal of Syiah Kuala Dentistry Society Vol 2, No 1 (2017): JANUARY
Publisher : Dentistry Faculty

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Abstract

A post that has fractured in a root canal can be a major problem in the endodontic retreatment. In such a situation the risk of root fracture or perforation during removal of the post remnant may be high. This case describe about solving the problem of fracture-post, removing the broken post in the canal, and retreatment of tooth. A 50 year old male patient came in to Department of Conservative Dentistry - Airlangga University with a chief complains fractured post-crown at maxillary central incisor. 2 years ago root canal treatment was performed. This post-crown fractured twice. These fractured posts can be loosened by using a ultrasonically with diamond-coated tip at the cement interface. The tip breaks up the luting cement with counter-clockwise motion and the irrigant washes it away, and this in turn helps removal with diamond-coated which is used to cut down along the cement. There are many factors that influence successful post removal such as operator judgment, training, experience, and utilizing the best technologies and techniques. Care must be taken to check the edges of the tip, sharpening them when necessary. Occasionally the edges can flare out, with resultant danger of excessive removal of dentin and increased risk of weakening the root or even perforation. Removal of the post leads to the risk of complications associated with the forming of ledges, perforations and fracture of the tooth root. For safe removal of the posts it is necessary to know and use appropriate armamentarium and suitable techniques.Keyword: removal of metal endodontic post, endodontic retreatment, ultrasonics
An aesthetic rehabilitation of fractured anterior maxillary teeth with multiple diastema Galih Sampoerno; Kezia Sepdwiningtyas Santoso; Agustina Restu Nurkhotimah; Karina Awanis Adla; Sri Kunarti; Adioro Soetojo; Nirawati Pribadi; Kun Ismiyatin
Conservative Dentistry Journal Vol. 15 No. 2 (2025): July-December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cdj.v15i2.2025.97-104

Abstract

Background: Aesthetic issues on anterior maxillary teeth often require comprehensive treatment due to both functional and psychological impacts. This case report highlights the clinical approach and management for anterior maxillary teeth with crown fracture and multiple diastemas through restorative aesthetic procedures. Purpose: To describe a clinical approach and restorative aesthetic management for a 37 year-old female patient with a crown fracture and multiple diastemas on the anterior maxillary teeth, aiming to restore aesthetics and function through a carefully planned dental treatment. Case(s): A 37 year-old female patient presented to RSGMP UNAIR with a chief complaint of fractured upper anterior teeth and a history of intermittent pain. The patient also reported concern about the spacing between her upper front teeth. The clinical examination revealed involvement of teeth 13, 12, 11, 21, 22, and 23. The patient had no previous dental treatment and no systemic health issues. Case Management: A detailed clinical and radiographic examination was performed, followed by a comprehensive treatment strategy targeting tooth elements 13, 12, 11, 21, 22, and 23. The management focused on restoring tooth structure, closing the diastema, and improving smile aesthetics. Conclusion: Aesthetic and functional rehabilitation of the anterior maxillary teeth was planned and carried out through an integrative restorative approach. The case emphasizes the importance of proper diagnosis dan treatment planning in managing complex aesthetic cases.
Co-Authors Adioro Soetojo Agustina Restu Nurkhotimah Fahmi Mulya Galih Sampoerno Karina Awanis Adla Kezia Sepdwiningtyas Santoso Kun Ismiyatin Nirawati Pribadi