Rehabilitation of surgically failed anterior teeth using bioactive material and monoblock effect

Abstract

ABSTRACT:Endodontic re-surgery can be considered to manage any failure associated with previous apical surgery. Although the outcome of re-surgery is said to be lower than the first time surgery, resurgery can be considered as a valid alternative to extraction especially when the reason for the first surgical procedure is determined and eliminated. Modern techniques and the availability of bioactive and adhesive materials have helped in resurrecting teeth that were deemed hopeless. Using these materials and techniques enable to achieve a total corono-apical seal for promoting a predictable periapical healing and strengthen the mutilated tooth by obtaining intra-radicular reinforcement through monoblock effect when compared to conventional retreatment procedures. This article describes a case of re-surgical management and rehabilitation of surgically failed and mutilated upper anterior teeth by employing bioactive and adhesive materials instead of the conventional approach.