Silent Failure Beneath Crowns

Coronal leakage remains one of the main causes of endodontic failure. Even in the absence of symptoms, hidden caries beneath prosthetic restorations can compromise the long-term prognosis of root canal–treated teeth. A patient was referred for the evaluation of teeth 14 and 15. Both teeth were asymptomatic, with no pain on percussion or palpation. The radiographic examination revealed previous root canal treatments associated with inadequate obturation and the presence of caries beneath the existing crowns, indicating a lack of coronal sealing. The diagnosis led to the indication for orthograde retreatment of both teeth. Pre Operative Radiograph The treatment plan consisted of: Removal of the existing crowns Caries excavation Orthograde retreatment of teeth 14 and 15 Subsequent prosthetic rehabilitation with new…