Advanced Material Strategy for Restoring Damaged Endodontically Treated Teeth: A Comprehensive Review

Area of Science:

• Dentistry
• Biomaterials Science
• Restorative Dentistry

Background:

• Endodontically treated teeth (ETT) are prone to fracture due to structural compromise from initial pathology and endodontic procedures.
• Restorative strategies for ETT must balance functional restoration, aesthetic demands, and fracture resistance.
• Advances in adhesive dentistry and high-strength ceramics offer expanded options for ETT restoration.

Purpose of the Study:

• To review current biomaterial advancements and restorative techniques for damaged endodontically treated teeth.
• To provide insights into alternative approaches for preserving ETT on the dental arch.
• To serve as a resource for dental practitioners managing complex ETT cases.

Main Methods:

• Comprehensive literature review of recent advancements in biomaterials and restorative techniques for ETT.
• Analysis of factors influencing restorative material and technique selection.
• Exploration of bonded restoration principles and their application to ETT.

Main Results:

• Bonded restorations are increasingly favored for preserving tooth structure and enhancing the tooth-restoration complex strength.
• Material and technique selection depends on remaining tooth structure, functional needs, and patient aesthetics.
• Numerous therapeutic options utilizing diverse materials are available for ETT restoration.

Conclusions:

• Optimal restoration of ETT remains an active area of research and clinical debate.
• Biomaterial innovations over the past decade offer improved solutions for damaged ETT.
• Effective restorative strategies aim to prolong the functional lifespan of ETT.