Blofoma Mohentaeses Veransa*, Margareta Rinastiti**
Reintervention presents unique challenges, which become even more complex in hypertensive patients. Hemodynamic control and material selection are critical to minimizing risks and ensuring treatment success. Hypertension can influence the choice of materials and the overall procedural approach. This case report aim to highlights the endodontic reintervention of a maxillary right central incisor in a hypertensive patient, emphasizing strategic planning, material selection, and restorative techniques for long-term success. A 54-year-old hypertensive female patient presented to the Conservative Clinic, RSGM UGM with complaints of discomfort and pain in tooth 11. The patient had undergone root canal treatment several months ago, but no restoration had been placed on the tooth. Radiographic examinations revealed inadequate root canal obturation with extrusion of obturation material beyond the apex and the presence of a periapical radiolucency. Endodontic retreatment was performed with careful hemodynamic monitoring. The previous gutta-percha and sealer were removed, followed by thorough irrigation and disinfection. Obturation was achieved using a resin sealer and a lateral condensation technique to ensure a hermetic seal. The prefabricated fiber post was placed and the final restoration involved a porcelain-fused-to-metal crown. In conclusion, reintervention combined with a porcelain-fused-to-metal crown and a prefabricated fiber post is an effective solution for managing overfilling cases, ensuring both functional and aesthetic rehabilitation. This case report demonstrates the management of a root canal reintervention case involving extruded obturation material without the need for surgical intervention. Precise non-surgical retreatment techniques can effectively resolve periapical pathology while preserving the tooth and restoring its function.
Keywords:; hypertension, intracanal retention, reintervention