World Journal of Dentistry

Register      Login

VOLUME 14 , ISSUE 3 ( March, 2023 ) > List of Articles


Combined Effect of Mineral Trioxide Aggregate and Customized Glass Fiber Post in Nonsurgical Endodontic Retreatment Teeth at Esthetic Zone: A Case Report

Emad A Kamli, Abdulaziz M Zailai, Mushyirah Y Sabyei, Maha N Asiri, Husain A Keylani, Mohammed M Al Moaleem

Keywords : Customized fiber post, Fiber-reinforced composite, Mineral trioxide aggregate, Open apex, Periapical pathosis

Citation Information : Kamli EA, Zailai AM, Sabyei MY, Asiri MN, Keylani HA, Moaleem MM. Combined Effect of Mineral Trioxide Aggregate and Customized Glass Fiber Post in Nonsurgical Endodontic Retreatment Teeth at Esthetic Zone: A Case Report. World J Dent 2023; 14 (3):273-280.

DOI: 10.5005/jp-journals-10015-2204

License: CC BY-NC 4.0

Published Online: 05-05-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Background and aim: Choice of the most suitable obturation materials and post–core systems for endodontically treated teeth (ETT) is challenging and should be performed by understanding their areas of applications, advantages, amount and characteristics of remaining tooth structure, and esthetic needs. Case description: The use of mineral trioxide aggregate (MTA) with customized glass fiber post in nonsurgical ETT retreatment of single-rooted teeth is recommended to treat apical root pathosis with open apexes. A combination of those materials can provide impressive results in the anterior esthetic zone and in the presence of immature and wide canals. Conclusion: This report demonstrated the use of MTA and customized glass fiber posts for nonsurgical root canal (RC) retreatment of maxillary anterior teeth for a young male patient. Clinical significance: This technique is simple, effective, less invasive, and suitable for apical apexification and to restore wider ETT canals.

PDF Share
  1. Schmitt D, Lee J, Bogen G. Multifaceted use of ProRoot MTA root canal repair material. Pediatr Dent 2001;23(4):326–330.
  2. Gomes-Filho JE, Watanabe S, Bernabé PFE, et al. A mineral trioxide aggregate sealer stimulated mineralization. J Endod 2009;35(2):256–260. DOI: 10.1016/j.joen.2008.11.006
  3. Gomes-Filho JE, Watanabe S, Cintra LTA, et al. Effect of MTA-based sealer on the healing of periapical lesions. J Appl Oral Sci 2013;21(3):235–242. DOI: 10.1590/1679-775720130089
  4. Sirimai S, Riis DN, Morgano SM. An in vitro study of the fracture resistance and the incidence of vertical root fracture of pulpless teeth restored with six post-and-core systems. J Prosth Dent 1999;81(3):262–269. DOI: 10.1016/s0022-3913(99)70267-2
  5. Libonati A, Di Taranto V, D Agostini C, et al. Comparison of coronal leakage of different root canal filling techniques: an ex vivo study. J Biol Regul Homeost Agents 2018;32(2):397–405.
  6. Libonati A, Montemurro E, Nardi R, et al. Percentage of gutta-percha-filled areas in canals obturated by 3 different techniques with and without the use of endodontic sealer. J Endod 2018;44(3):506–509. DOI: 10.1016/j.joen.2017.09.019
  7. Campanella V, Di Taranto V, Libonati A, et al. Indirect adhesive rehabilitation by cementation under pressure of a case of Dentinogenesis Imperfecta type II: follow-up after 13 years. Eur J Paediatr Dent 2018;19(4):303–306. DOI: 10.23804/ejpd.2018.19.04.10
  8. Ballesio I, Angotti V, Gallusi G, et al. Durability of adhesion between an adhesive and post-space dentin: push-out evaluation at one and six months. Int J Adhes Adhes 2012;38:75–78. DOI: 10.1016/j.ijadhadh.2012.05.001
  9. Libonati A, Marzo G, Klinger FG, et al. Embryotoxicity assays for leached components from dental restorative materials. Reprod Biol Endocrinol 2011;9:136. DOI: 10.1186/1477-7827-9-136
  10. Pramudita N, Rosalia ED, Kristanti Y, et al. Aesthetic treatment of traumatized anterior teeth: a case report. Adv Health Sci Res 2020;33:218–222.
  11. Kim SM, Ahn E. Tooth survival following non-surgical root canal treatment in South Korean adult population: a 11-year follow-up study of a historical cohort. Eur Endod J 2022;7:20–26. DOI: 10.14744/eej.2021.86648
  12. Laukkanen E, Vehkalahti MM, Kotiranta AK. Impact of type of tooth on outcome of non-surgical root canal treatment. Clin Oral Investig 2019;23(11):4011–4018. DOI: 10.1007/s00784-019-02832-0
  13. Piovesan EM, Demarco FF, Cenci MS, et al. Survival rates of endodontically treated teeth restored with fiber-reinforced custom posts and cores: a 97-month study. Int J Prosthodont 2007;20(6):633–639.
  14. Umre U, Sedani S, Nikhade PP, et al. A case report on the rehabilitation of severely worn teeth using a custom-made cast post. Cureus 2022;14(10):e30528. DOI: 10.7759/cureus.30528
  15. Qing H, Zhu Z, Chao Y, et al. In vitro evaluation of the fracture resistance of anterior endodontically treated teeth restored with glass fiber and zircon posts. J Prosth Dent 2007;97(2):93–98. DOI: 10.1016/j.prosdent.2006.12.008
  16. Qualtrough AJ, Mannocci F. Tooth-colored post systems: a review. Oper Dent 2003;28(1):86–91.
  17. Tanoue N, Nagano K, Shiono H, et al. Application of a pre-impregnated fiber-reinforced composite in the fabrication of an indirect dowel-core. J Oral Sci 2007;49(2):179–182. DOI: 10.2334/josnusd.49.179
  18. da Costa RG, de Morais ECC, Leão MP, et al. Three-year follow up of customized glass fiber esthetic posts. Eur J Dent 2011;5(1):107–112.
  19. Garoushi S, Vallittu PK, Lassila LV. Continuous and short fiber reinforced composite in root post-core system of severely damaged incisors. Open Dent J 2009;3:36–41. DOI: 10.2174/1874210600903010036
  20. Mishra L, Kumar M, Nishant. Rehabilitation of fractured tooth by a custom-made fiber reinforced composite post. Int J Odontostomatol 2012;6(3):323–326. DOI: 10.4067/S0718-381X2012000300014
  21. Newman MP, Yaman P, Dennison J, et al. Fracture resistance of endodontically treated teeth restored with composite posts. J Prosth Dent 2003;89(4):360–367. DOI: 10.1067/mpr.2003.75
  22. Alghazali N, Hakami AA, AlAjlan GA, et al. Influence of the Arabic-coffee on the overall color of glazed or polished porcelain veneers—in vitro study. Open Dent J 2019;13:364–370. DOI: 10.2174/1874210601913010364
  23. Al-Ahmari MM, Alzahrani AA, Al-Qatarneh FA, et al. Effect of miswak derivatives on color changes and mechanical properties of polymer-based computer-aided design and computer-aided manufactured (CAD/CAM) dental ceramic materials. Med Sci Monit 2022;28:e936892. DOI: 10.12659/MSM.936892
  24. Alzahrani AH, Aldosari LIN, Alshadidi AAF, et al. Influence of surface type with coffee immersion on surface topography and optical and mechanical properties of selected ceramic materials. Med Sci Monit 2022;28:e938354. DOI: 10.12659/MSM.938354
  25. Abdalkadeer HK, Almarshedy SM, Al Ahmari NM, et al. Influence of the Coca-Cola drinks on the overall color of glazed or polished porcelain veneers fabricated from different materials and thicknesses: an in vitro study. J Contemp Dent Pract 2020;21(1):56–61. DOI: 10.5005/jp-journals-10024-2705
  26. Aldosari LI, Alshadidi AA, Porwal A, et al. Surface roughness and color measurements of glazed or polished hybrid, feldspathic, and zirconia CAD/CAM restorative materials after hot and cold coffee immersion. BMC Oral Health 2021;21(1):422. DOI: 10.1186/s12903-021-01770-2
  27. Al Moaleem MM, Adawi HA, Alsharif KF, et al. Impact of smokeless tobacco on the color stability of zirconia, zirconia-reinforced lithium silicate and feldspathic CAD/CAM restorative materials: an in-vitro study. Coatings 2022;12(1):207. DOI: 10.3390/coatings12020207
  28. Al Ahmari NM, Alahmari MA, Al Moaleem MM, et al. Physical, optical, and mechanical properties of ceramic materials after coffee immersion and evaluation of cleaning impact with different oral hygiene tools. Int J Environ Res Public Health 2022;19(22):15047. DOI: 10.3390/ijerph192215047
  29. Nagaraj NJ, Pallavi S, Ravisankar MS, et al. Endodontic management of an open apex with apexification using mineral trioxide aggregate: a case report. Med Sci 2022;26(125):ms315e2331. DOI: 10.54905/disssi/v26i125/ms315e2331
  30. Caleza-Jimenez C, Ribas-Perez D, Biedma-Perea M, et al. Radiographic differences observed following apexification vs revascularization in necrotic immature molars and incisors: a follow-up study of 18 teeth. Eur Arch Paediatr Dent 2022;23(3):381–389. DOI: 10.1007/s40368-022-00692-z
  31. Khandelwal A, Janani K, Teja K, et al. Periapical healing following root canal treatment using different endodontic sealers: a systematic review. Biomed Res Int 2022;2022:3569281. DOI: 10.1155/2022/3569281
  32. Chopra V, Davis G, Baysan A. Clinical and radiographic outcome of non-surgical endodontic treatment using calcium silicate-based versus resin-based sealers—a systematic review and meta-analysis of clinical studies. J Funct Biomater 2022;13(2):38. DOI: 10.3390/jfb13020038
  33. Jain S, Mandke L. Non-surgical management of a periapical lesion with bioceramic sealer—a case report. IP Indian J Conserv Endod 2022;7(2):85–88. DOI: 10.18231/j.ijce.2022.018
  34. Ferrari M, Scotti R. Fiber Posts: Characteristics and Clinical Applications. Paris, France: Masson Publishing; 2002. p. 2.
  35. Bru E, Forner L, Llena C, et al. Fiber post behavior prediction factors. A review of the literature. J Clin Exp Dent 2013;5(3):e150–e153. DOI: 10.4317/jced.50619
  36. Lassila LVJ, Tanner J, Le Bell AM, et al. Flexural properties of fiber reinforced root canal posts. Dent Mater 2004;20(1):29–36. DOI: 10.1016/S0109-5641(03)00065-4
  37. Goracci C, Ferrari M. Current perspectives on post systems: a literature review. Aust Dent J 2011;56 Suppl 1:77–83. DOI: 10.1111/j.1834-7819.2010.01298.x
  38. Tortopidis D, Kourtis S, Kountouras K. Restoration of endodontically treated anterior teeth with cast metallic post or prefabricated fibre post placement: 2 case reports and critical literature review. Balk J Dent Med 2015;19(2):86–91. DOI: 10.1515/bjdm-2015-0040
  39. Sanghi S, Singh A, Abraham D, et al. Biomimetic post: a case report. J Case Rep Images Dent 2015;1:1–4. DOI: 10.5348/Z07-2015-1-CR-1
  40. Libonati A, Taranto VD, Gallusi G, et al. CAD/CAM customized glass fiber post and core with digital intraoral impression: a case report. Clin Cosmet Investig Dent 2020;12:17–24. DOI: 10.2147/CCIDE.S237442
  41. Chandra P, Kumar A, Mishra SK, et al. Management of weakened anterior teeth using customized anatomical post: a case report. Int J Med Res Prof 2017;3(6):316–318. DOI: 10.21276/ijmrp.2017.3.6.064
  42. Bhatti UA, Javed MQ, Al Attas MH. Intra-radicular reinforcement using a modified fiber post customization technique: a case report. Pan Afr Med J 2021;40:241. DOI: 10.11604/pamj.2021.40.241.27161
  43. Gutiérrez MA, Guerrero CA, Baldion PA. Efficacy of CAD/CAM glass fiber posts for the restoration of endodontically treated teeth. Int J Biomater 2022;2022:8621835. DOI: 10.1155/2022/8621835
  44. Bosso K, Júnior AG, Guiraldo RD, et al. Stress generated by customized glass fiber posts and other types by photoelastic analysis. Braz Dent J 2015;26(3):222–227. DOI: 10.1590/0103-6440201300256
  45. Al Moaleem MM, Mobaraky AA, Madkhali HA, et al. Evaluation of maxillary anterior endodontically treated teeth restored with different types of crowns. Int J Dent Res 2017;5(2):163–166. DOI: 10.14419/ijdr.v5i2.8008
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.