Managing a Grossly Mutilated Mandibular Molar Using a Customized Orthodontic Molar Band under Magnification - A Case Report

A post endodontic restoration with bacteria-tight seal is essential for a successful endodontic treatment. Post endodontic restoration of a grossly decayed tooth is a challenging clinical situation. Post and core followed by crown placement is the traditionally used method for rehabilitation of a severely mutilated tooth. In several cases due to the unavailability of tooth structure for post space preparation and crown placement the only available treatment option becomes extraction of the tooth. This case report deals with such a clinical scenario where crown placement was not feasible. Since the patient was only 16-years old and had undergone extraction of several teeth on the opposite quadrant due to ameloblastoma, preserving the remaining teeth was of high priority. The alternative treatment option was a properly contoured fluid-tight post endodontic restoration using an adhesive restorative material. Composite is an adhesive restorative material that has shown to have high fracture resistance. Due to the unavailability of crown structure for the placement of matrix band, we have used a modified orthodontic molar band for the reconstruction of the tooth and reported a 6-month follow-up.