DOI: 10.36347/sjds.2022.v09i04.002

Pages: 63-69

The coronal-radicular reconstruction is a restoration that involves both the coronal part and the root part of the tooth. The objective of this study was to evaluate the clinical aspects of anterior teeth before performing corono-radicular reconstruction by inclay-core. This was a descriptive cross-sectional study for analytical purposes with prospective data collection at the fixed prosthesis department of the CHU-CNOS over a period of six (6) months from (June 2019 to December 2019). The study population was made up of patients who underwent corono-radicular reconstruction (CPR) on anterior teeth by inlay core in the fixed prosthesis department of the CHU-CNOS. The patients were submitted to a questionnaire relating to general information, the reason for consultation, the oral examination, the type of coronal-radicular reconstruction. In this study, the female sex was the most represented with 61.40% of cases and a sex ratio of 0.62 in favor of women. Dental caries was the most represented pathology, 47.14% of cases. Retro-alveolar radiography was done in the vast majority of patients, ie 91.42% of cases. Aesthetics was the most represented reason for consultation with 95.70% of cases. More than three quarters (80%) of coronal-radicular reconstructions by inlay-core on anterior teeth were performed in the maxilla. All the walls were dilapidated in more than three-quarters of the cases, i.e. 77.15%. Corono-radicular reconstruction was performed to serve as a bridge pillar in 58.30% of cases. In our study, the mechanical principles of reconstitution were good in 91.40% retention and 94.30% stabilization. Lift was also good at 54.3%. The quality of these principles depends on the clinical stage (preparation) and the technical design in the laboratory. This prosthetic element must meet several objectives, hence the need for multidisciplinary care. Efforts must be made at all levels for prosthetic rehabilitation, especially in anterior relief.