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The treatment of endodontically treated teeth
1Auckland Fixed Prosthodontic Clinic, Remuera, New Zealand.
Current Opinion in Dentistry
|April 1, 1991
Summary
Restoring endodontically treated teeth may not require a ferrule effect. The height of remaining tooth structure is more critical for fracture resistance than post or core foundations.
Area of Science:
- Restorative Dentistry
- Endodontics
- Dental Materials
Background:
- Endodontic treatment's impact on tooth strength is debated.
- Previous operative cavity designs may influence outcomes.
- The necessity of specific post-and-core foundation elements is questioned.
Purpose of the Study:
- To evaluate the significance of post-and-core foundations in endodontically treated teeth.
- To determine factors influencing the fracture resistance of restored endodontic teeth.
- To reassess the importance of the ferrule effect in restorative protocols.
Main Methods:
- Review of recent studies on endodontically treated teeth restoration.
- Analysis of factors affecting tooth strength post-endodontic treatment.
- Evaluation of the role of ferrule effect and remaining tooth structure height.
Main Results:
- The ferrule effect may be unnecessary for post-and-core foundations.
- The height of tooth structure between the core and crown margin is a key factor in fracture resistance.
- Material interactions significantly influence the restorative process.
Conclusions:
- Restorative protocols for endodontically treated teeth are evolving.
- Clinical decision-making may become more complex due to material interactions.
- Focus should shift towards optimizing remaining tooth structure height for better outcomes.
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