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Endodontics Restorative-Conservative Dentistry/ 23 December 2024/ |

Full Mouth Rehab for Young Adolescent, Preservation of Permanent Dentition using Modern Techniques in Restorative Dentistry

Author: Dr Nader Abdelrahman

Website: https://www.instagram.com/dr.nader_abdelrahman

Email: nader.abdelrahman.dds@outlook.com

Nationality: Egypt

Branch: Endodontics, Restorative-Conservative Dentistry

Brand: Tokuyama composite Palfique LX5, Pentron, Ever X Posterior

Material: Ceraseal Bio-ceramic Material, Dentsply NeoSpectra LV as Heated Composite

Technique: Biomimetic stress reduced direct restoration, Direct composite veneers, Custom-made Fiber Post and Core, Heated Composite Cementation, Morphology Driven Preperation Technique

Chief Complaint: 13 years old Female Patient Came to Clinic Complaining of Bad
aesthetics, inability to Chew food properly and bad mouth Odor

Diagnosis: Upon Comprehensive full Clinical Examination and Panoramic Radiograph
taken, it was Established multiple treatments and Retreatments needed to achieve
optimum aesthetics and best management to preserve badly destructed permanent
dentition. Patient has showed in her medical history to suffer from Ricketts Disease at
young age and with multiple abnormalities in the morphology of the permanent
dentition causing Caries development to be easier and less predictable

Treatment Plan was Formulated to start treating the lower Anteriors endontically first to
supress the pain and stop the caries progression. Contemporary modalities such as

Custom-Made fiber-post and core was used to preserve the remaining tooth structure.
Some Molars required biomimetic Advance adhesive dentistry to preserve or to
Construct Partial Coverage restoration.

Techniques used in this Case to Achieve the best Management and maximum longevity:
• Custom-made Chairside Fiber-Post and Core
• Fiber- Post Cementation and Complete core with veneering for lower Anteriors
• Biomimetic Approach for Preservation of Upper and Lower molars that are either
badly destructed or mutilated
• Indirect overlay coverage with heated composite cementation on Bio-base
(EverX+Ribbond)
• MTA and indirect Pulp capping to preserve the tooth vitality
• Complete composite Veneer of upper and lower Anteriors

References

1- Alshetiwi, D.S.D., Muttlib, N.A.A., El-Damanhoury, H.M. et al. Evaluation of mechanical properties of anatomically customized fiber posts using E-glass short fiber-reinforced composite to restore weakened endodontically treated premolars. BMC Oral Health 24, 323 (2024). https://doi.org/10.1186/s12903-024-04102-2

2-Baraka, M., Ibrahim, Y., Helmy, R. (2024). ADHESIVE STRATEGIES FOR RESTORING PRIMARY AND YOUNG PERMANENT DENTITION – A REVIEW. Alexandria Dental Journal, 49(1), 195-202. doi: 10.21608/adjalexu.2024.279030.1491

3-Alleman, D. S., & Magen, P. (2012). A systematic approach to deep caries removal end points: the peripheral seal concept in adhesive dentistry. Quintessence International, 43(3).