Tooth No. 3 obturated with SimpliCore™

                                                    Dr. David King treats a failing restoration

The patient came in for a crown re-do on tooth No. 2 and pain on tooth No.3 (Figure 1).

The patient presented with a failing restoration on tooth No. 2 and caries/decay extending greater than two-thirds occlusal table. The procedure consisted of removal of gross decay, any fractured enamel or old restorations, replacement of tooth structure with a buildup, and placement of a crown to cover and protect the tooth and ensure the patient can return to normal function.

The structure of tooth No. 2 was reduced using a high-speed handpiece, and a provisional crown was fabricated and secured with temporary cement material. The patient returned for root canal treatment on tooth No. 3. The doctor discussed the severity of conditions and what treatments were medically necessary to eliminate the decay.

Treatment options were discussed, as well as advantages and disadvantages of each treatment option, and the patient opted for endodontic therapy. The decay was removed, and access to the pulpal canals was exposed with the pulpal chamber completely unroofed.

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1. Rotary and hand files were used to debride and shape the root canals.

2. The canals were rinsed with NaOCI and EDTA.

3. ZenFlex™ ONE Primary Files (.25/.06/25 mm) were used

to instrument to working length.

4. The canals were dried before placing ZenSeal™ Bioceramic
Sealer (Figure 3).

5. The canals were obturated using SimpliCore™ for Zen-
Flex™ ONE Primary (Figures 2 and 3).

A core build-up was placed on tooth No. 3 to prevent bacterial
reinfection, provide essential support for a final crown, and
reduce increased risk of tooth fracture or RCT failure.

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 David King, DDS

The opinions expressed in this article are those of Dr. King, who is a paid consultant of Kerr. Clinicians should use their own professional judgment in treating their patients. Kerr is a medical device manufacturer and does not dispense medical advice. The article was originally published by the US Endodontic Magazine.