The anterior abutment of this bridge was symptomatic. The patient was keen to retain the bridge if possible. A decision was made to attempt re-treatment thorough the bridge.

Three silver points were visible after removal of the core material.

One of the keys to removing silver points is to carefully dissect the core material around the point so that the end of the point can be grasped with Steiglitz forceps.

The silver points were grasped with Steiglitz forceps and removed.

The tooth was dressed with calcium hydroxide for two weeks, symptoms resolved and obturation completed with GP and AH Plus. Two fibre posts were placed with a luxacore core. The porcelain was etched and silanated, and opaque porcelain was used to help mask the darkness of the metal base and the access restored with composite. Some of the porcelain had fractured away during access and this was restored with composite as well.

Obturation with two fibre posts and a luxacore core.

Post-obturation radiographs.

Would you have managed this differently? If so, make a comment below.