” A 20-year-old patient comes to my office and complains about an increased sensitivity to thermal and osmotic stimuli, with occasional evening pain, especially when lying down. The physical examination and the x-ray evidence marginal infiltrations on the residual dental tissue that make this case unsuitable for direct restoration. Diagnosis of irreversible pulpitis. The examination of the initial clinical situation reveals an inadequate restoration and sclerotic and carious hard tissues, unsuitable for direct restoration due to structural deterioration. The treatment includes an endodontic approach, periodontal surgery (APF), build up with a fibre post and an overlay indirect reconstruction using the Estelite Asteria composite, which is cured in an oven for composites. ”
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