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Teeth

Teeth

The formation of teeth, also known as odontogenesis, is a complex process that begins in utero, around the sixth week of embryonic development. There are three stages to this process: the bud stage, the cap stage, and the bell stage.
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin...

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Guided Endodontics: Three-Dimensional Planning and Template-Aided Preparation of Endodontic Access Cavities

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[Restoration choices for endodontically treated posterior teeth].

M C F M de Kuijper, C R G van den Breemer, J Nobel

Nederlands Tijdschrift Voor Tandheelkunde

|January 15, 2021

Summary

Restorative treatment for endodontically treated teeth lacks guidelines. Dentists

Area of Science:

Dentistry
Endodontics
Restorative Dentistry

Background:

No universally accepted guidelines exist for restoring endodontically treated teeth.
Restorative decisions for endodontically treated molars and premolars vary among dental practitioners.
Vertical root fracture is a primary cause for extraction of these teeth.

Purpose of the Study:

To identify common restorative treatment options for endodontically treated molars and premolars.
To investigate factors influencing treatment preferences among general dentists and endodontists.
To understand material choices, cuspal coverage, and root canal post usage.

Main Methods:

A questionnaire was distributed to general dental practitioners and endodontists.
The questionnaire assessed treatment preferences based on various clinical parameters.

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Specific questions addressed material selection, cuspal coverage, and post utilization.

Main Results:

Both groups agreed vertical root fracture is the most common extraction reason.
General dentists delayed permanent restoration in cases of apical periodontitis compared to endodontists.
Treatment preferences for molars and premolars were similar, with posts used more for premolars.

Conclusions:

Treatment preferences for endodontically treated premolars and molars are consistent.
Wall location significantly influences cuspal coverage decisions for premolars.
A majority of endodontists (75-94%) and a substantial portion of general dentists (51-53%) favor partial over full crowns for single-walled teeth.