Farajollahi Mehran, Dianat Omid, Gholami Samaneh, Saber Tahan Shima
Iranian Center for Endodontic Research, Research Institute of Dental Sciences, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Division of Endodontics, Department of Advanced Oral Sciences and Therapeutics, School of Dentistry, University of Maryland, Baltimore, MD, USA.
Case Rep Dent. 2023 Sep 15;2023:7982368. doi: 10.1155/2023/7982368. eCollection 2023.
Removing a fiber post from a root canal that requires endodontic retreatment is often very challenging. Conventional freehand techniques for removing fiber posts are time-consuming, sometimes result in iatrogenic errors, and heavily rely on the practitioner's experience. The endodontic static guide can be an alternative method. While the use of an endodontic 3D-printed static guide for fiber post removal has been reported as highly successful, it can also cause complications. Skipping any critical steps during the guide construction or its clinical application can lead to errors. This case report presents the saving of a compromised tooth with a fractured fiber post and a periapical lesion around the apex through the use of an endodontic static guide for fiber post removal. This study describes possible sources of error that may happen during construction and clinical use of the guide.
从需要进行根管再治疗的根管中取出纤维桩通常极具挑战性。传统的徒手取出纤维桩技术耗时较长,有时会导致医源性失误,并且严重依赖从业者的经验。根管静态导板可能是一种替代方法。虽然已有报道称使用根管三维打印静态导板取出纤维桩非常成功,但它也可能引发并发症。在导板制作或临床应用过程中跳过任何关键步骤都可能导致失误。本病例报告介绍了通过使用根管静态导板取出纤维桩,挽救了一颗纤维桩折断且根尖周围存在根尖周病变的患牙。本研究描述了在导板制作和临床使用过程中可能出现的误差来源。