The missing link: the endodontic/restorative continuum

The endodontic treatment and the restoration of compromised teeth have largely been viewed as two separate unrelated procedures. The research, however, suggests that the way the endodontic procedure is performed may influence the long-term prognosis for the restored pulpless tooth. Also, studies suggest that the protocol followed when restoring pulpless teeth may affect the long-term prognosis of the endodontic treatment. This article explores the synergistic relationship between these two procedures and suggests how new resin technologies might help to increase success rates of endodontically treated teeth. New methodologies for obturating roots for better seals, for placing posts to strengthen roots against fracture and to retain cores, and the need for ferrules are discussed, with a review of the evidence pertaining to these subjects.