Angulated Custom Cast Post and Core Restoration for Traumatised Anterior Tooth-“Not as Straight as an Arrow”Correspondence Address :
Dr. Apra Butail,
Research Resident, Himachal Institute of Dental Sciences, Rampur Ghat Road, Paonta Sahib,
Sirmaur-173021, Himachal Pradesh, India.
Traumatic dental injuries are most common injuries afflicting young children and generally involve the maxillary anterior teeth. Increased overjet with protrusion of upper incisors and insufficient lip closure are significant predisposing factors to traumatic dental injuries. Anterior tooth trauma leads to discomfort and serious psychological, aesthetic, functional, and phonetic problems that can affect social relationships. Treatment of a traumatically injured single central incisor poses significant challenges to the dentist and the patient. The reduced tooth structure makes retention of extra coronal restoration difficult. The purpose of cast post is to provide retention for the core restoration, which replaces the lost coronal tooth structure. This case report describes aesthetic rehabilitation of a fractured labially inclined left maxillary central incisor. Aesthetic and functional reconstruction was achieved by customising the axial inclination of the core followed by cementation with Porcelain Fused to Metal (PFM) crown. Thus, endodontic approach combined with prosthodontics provides a quick, reliable and economic treatment option.
Aesthetics, Anterior tooth trauma, Function, Metal post
Apra Butail, Parminder Dua, Ritu Mangla, Ananya Chauhan. ANGULATED CUSTOM CAST POST AND CORE RESTORATION FOR TRAUMATISED ANTERIOR TOOTH-“NOT AS STRAIGHT AS AN ARROW”. Journal of Clinical and Diagnostic Research [serial online] 2018 August [cited: 2018 Sep 23 ]; 12:ZD05-ZD07. Available from
Date of Submission: Feb 25, 2018
Date of Peer Review: Apr 09, 2018
Date of Acceptance: May 08, 2018
Date of Publishing: Aug 01, 2018
FINANCIAL OR OTHER COMPETING INTERESTS: None.
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