title: Orthograde endodontic retreatment of teeth with individual cast posts: report of two cases.
abstract: BACKGROUND
  The failure of primary endodontic treatment is manifested by various clinical symptoms following endodontic therapy or, more frequently, by the development of chronic inflammatory process in the apex region without any subjective symptoms. In case of unfavorable outcome of the primary endodontic treatment, orthograde endodontic retreatment is the method of choice for a prolonged therapy.
  
  
  METHODS
  Two female patients, 47 and 44 years old, were presented at the Dental Clinic of Vojvodina for endodontic retreatment of teeth 22, 23 and 13, within the repeated prosthetic restoration. Intraradicular individual cast posts were removed using ultrasonic instruments. Remains of gutta-percha were removed by engine driven rotary re-treatment files, root canals were shaped and cleaned using the crown-down technique, and obturated with gutta-percha and epoxy-resin-based sealer using the lateral compaction technique.
  
  
  CONCLUSIONS
  When there are metal posts or broken instruments in the root canal, the use of ultrasonic instruments is considered a safe method characterized by negligible tooth substance loss and minimal root damage causing fractures and perforations, and the entire procedure is effective and predictable. Non-surgical orthograde endodontic retreatment, when properly performed in accessible and penetrable root canals, achieves a high cure rate, good and lasting results and eliminates the need for radical procedures, such as apical surgery or tooth extraction. When nonsurgical endodontic retreatment is done, treated teeth must be restored by full coronal coverage as soon as possible, to prevent coronal leakage or fracture.
authors.affiliation: Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia.
authors.forename: Bojana
authors.initials: B
authors.lastname: Ramić
authors.forename: Igor
authors.initials: I
authors.lastname: Stojanac
authors.forename: Milica
authors.initials: M
authors.lastname: Premović
authors.forename: Milan
authors.initials: M
authors.lastname: Drobac
authors.forename: Ljubomir
authors.initials: L
authors.lastname: Petrović
mesh_terms: D000328:Adult; D003442:Crowns; D005260:Female; D006801:Humans; D008875:Middle Aged; D011176:Post and Core Technique; D019233:Retreatment; D012390:Root Canal Therapy / Q000379:methods*