Endodontic and esthetic/restorative treatment of the same tooth: a synergistic approach for successful outcomes

Endodontic and restorative treatment of compromised teeth should not be considered separate, unrelated procedures. It is beneficial for both the endodontist and the restorative dentist to consider the other's treatment of a patient with compromised teeth. Both practitioners should thoroughly understand their respective modalities and the ways in which their work affects the remaining structure and integrity of the teeth being treated. The restorative dentist also should be aware that there are 2 primary goals of endodontic treatment: cleaning and disinfecting the affected canals, and sealing those canals to prevent reinfection. The endodontist should be aware that the objectives of the restorative dentist are to ensure postoperative root strength, prevent vertical root fracture, and retain the core of the restoration. This article describes a synergistic approach to treating teeth requiring both endodontic and restorative treatment.