Rehabilitation of compromised permanent incisors with anatomically adjustable fiber post

Purpose To evaluate clinically and radiographically the rehabilitated compromised upper permanent central incisors with the everStick post. Patients and methods Thirty‑six children patients aged from 10 to 16 years were divided into three equal groups (12 patients each). Group I, flared root canals of the patients were rehabilitated with the everStick post. Group II, flared root canals were rehabilitated with EasyPost/composite, and group III (control), unflared root canals were rehabilitated with EasyPost/core. The clinical parameters included the reinforced tooth, mucosa, temporary crown, and reinforcing system. The radiographical parameters were the periapical status, periodontal ligament condition, root fracture or resorption, and changes at the interfaces of the reinforcing system. All patients were followed up clinically and radiographically at 3, 6, 12 and 18 months. Results Both everStick and control group showed 100% clinical success, while EasyPost/composite group showed debonding of the reinforcing system in one patient with a clinical success rate of 91.7%, and the difference was not statistically significant (P 0.05). Radiographic assessment showed no evidence of root fracture or external root resorption and no periodontal or periapical pathology that require crown removal for clinical interference. The radiographic findings showed 100% success rate for all studied groups. Conclusion The use of direct anatomical everStick posts in the rehabilitation of flared canals functioned well for 18 months with favorable clinical, radiographical, and aesthetic results.