The use of low-power ultrasonic technique in conservative fiber post removal: A report of three cases using a novel technique

Fiber-reinforced posts have gained widespread use in restorative dentistry owing to their superior biomechanical properties and improved esthetics compared to metallic posts. However, a major drawback associated with their use is the difficulty of removal should a nonsurgical root canal retreatment...

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Main Authors: Abdulaziz Alsaeed, Abdulmohsen Alfadley, Ahmed Jamleh
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-05-01
Series:Saudi Endodontic Journal
Subjects:
Online Access:https://journals.lww.com/10.4103/sej.sej_203_24
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author Abdulaziz Alsaeed
Abdulmohsen Alfadley
Ahmed Jamleh
author_facet Abdulaziz Alsaeed
Abdulmohsen Alfadley
Ahmed Jamleh
author_sort Abdulaziz Alsaeed
collection DOAJ
description Fiber-reinforced posts have gained widespread use in restorative dentistry owing to their superior biomechanical properties and improved esthetics compared to metallic posts. However, a major drawback associated with their use is the difficulty of removal should a nonsurgical root canal retreatment become indicated. The presented case reports propose an innovative and predictable technique for fiber post removal using ultrasonic vibration at low power. The first case involved a 49-year-old female of good health who presented with a bad odor and difficulty cleaning between her maxillary anterior teeth. The case was diagnosed as previously treated with symptomatic apical periodontitis. The second case involved a 28-year-old female in good health who presented with pain when biting on the lower right side of the jaw. The case was diagnosed as previously treated with symptomatic apical periodontitis. The third case involved a healthy 31-year-old female, referred by a prothodontist to remove a broken fiber post from her maxillary anterior tooth. The case was diagnosed as previously treated with normal apical tissues. The described technique was able to remove fiber posts safely and efficiently without iatrogenic errors. Hence, dental practitioners should possess the required level of knowledge and technical skills that enable them to use the therapeutic tools available at their disposal to enhance the quality of care rendered to their patients.
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publisher Wolters Kluwer Medknow Publications
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spelling doaj-art-c2da208fa54646f9a61238b5294ee9ea2025-08-20T02:14:11ZengWolters Kluwer Medknow PublicationsSaudi Endodontic Journal2320-14952025-05-0115220020610.4103/sej.sej_203_24The use of low-power ultrasonic technique in conservative fiber post removal: A report of three cases using a novel techniqueAbdulaziz AlsaeedAbdulmohsen AlfadleyAhmed JamlehFiber-reinforced posts have gained widespread use in restorative dentistry owing to their superior biomechanical properties and improved esthetics compared to metallic posts. However, a major drawback associated with their use is the difficulty of removal should a nonsurgical root canal retreatment become indicated. The presented case reports propose an innovative and predictable technique for fiber post removal using ultrasonic vibration at low power. The first case involved a 49-year-old female of good health who presented with a bad odor and difficulty cleaning between her maxillary anterior teeth. The case was diagnosed as previously treated with symptomatic apical periodontitis. The second case involved a 28-year-old female in good health who presented with pain when biting on the lower right side of the jaw. The case was diagnosed as previously treated with symptomatic apical periodontitis. The third case involved a healthy 31-year-old female, referred by a prothodontist to remove a broken fiber post from her maxillary anterior tooth. The case was diagnosed as previously treated with normal apical tissues. The described technique was able to remove fiber posts safely and efficiently without iatrogenic errors. Hence, dental practitioners should possess the required level of knowledge and technical skills that enable them to use the therapeutic tools available at their disposal to enhance the quality of care rendered to their patients.https://journals.lww.com/10.4103/sej.sej_203_24endodonticsfiber postnonsurgical root canal retreatmentpost removalultrasonics
spellingShingle Abdulaziz Alsaeed
Abdulmohsen Alfadley
Ahmed Jamleh
The use of low-power ultrasonic technique in conservative fiber post removal: A report of three cases using a novel technique
Saudi Endodontic Journal
endodontics
fiber post
nonsurgical root canal retreatment
post removal
ultrasonics
title The use of low-power ultrasonic technique in conservative fiber post removal: A report of three cases using a novel technique
title_full The use of low-power ultrasonic technique in conservative fiber post removal: A report of three cases using a novel technique
title_fullStr The use of low-power ultrasonic technique in conservative fiber post removal: A report of three cases using a novel technique
title_full_unstemmed The use of low-power ultrasonic technique in conservative fiber post removal: A report of three cases using a novel technique
title_short The use of low-power ultrasonic technique in conservative fiber post removal: A report of three cases using a novel technique
title_sort use of low power ultrasonic technique in conservative fiber post removal a report of three cases using a novel technique
topic endodontics
fiber post
nonsurgical root canal retreatment
post removal
ultrasonics
url https://journals.lww.com/10.4103/sej.sej_203_24
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