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Guided Endodontics: Three-Dimensional Planning and Template-Aided Preparation of Endodontic Access Cavities
Published on: May 24, 2022
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Principles guiding the restoration of the root-filled tooth
Shanil R Patel1, Callum Youngson2, Fadi Jarad3
1Specialist in Endodontics, Endo 61 Dental Practice, 61 Church Road, Gately, Cheshire, SK8 4NG, United Kingdom.
British Dental Journal
|April 11, 2025
Summary
Restoring endodontically treated teeth requires careful assessment of structural integrity and appropriate material selection for optimal function and aesthetics. This ensures the long-term success of dental restorations after root canal therapy.
Area of Science:
- Dentistry
- Restorative Dentistry
- Endodontics
Background:
- Endodontic treatment is often necessitated by extensive coronal decay or trauma.
- Accessing the pulp chamber and instrumentation reduce tooth structural strength.
- Chemical agents used in disinfection can alter dentinal properties, further compromising the tooth.
Purpose of the Study:
- To outline principles for restoring endodontically treated teeth.
- To discuss factors influencing restoration choices (patient, material, tooth type).
- To review direct and indirect restoration options and material longevity.
Main Methods:
- Review of principles for restoring endodontically treated teeth.
- Consideration of patient and material factors.
- Analysis of restoration techniques for anterior and posterior teeth.
Main Results:
- Restorability assessment is crucial.
- A coronal seal is essential to prevent reinfection.
- Core retention is necessary for function and aesthetics.
- Material choice impacts longevity.
Conclusions:
- Successful restoration of endodontically treated teeth depends on a systematic approach.
- Careful selection of materials and techniques ensures optimal outcomes.
- Long-term success is influenced by proper restoration and maintenance.
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