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Related Experiment Video

Updated: Jul 9, 2026

Guided Endodontics: Three-Dimensional Planning and Template-Aided Preparation of Endodontic Access Cavities
07:14

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

Published on: May 24, 2022

CLINICAL PARAMETER-BASED EVALUATION OF RESTORATIVE TREATMENT DIFFICULTY IN ENDODONTICALLY TREATED TEETH.

Sakine Sena Konstantoulas1, Soley Arslan2

  • 1Research Assistant, Erciyes University, Faculty of Dentistry, Department of Restorative Dentistry, Kayseri, Türkiye.

Journal of Endodontics
|July 7, 2026
PubMed
Summary

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Effect of bioactive and conventional liners on marginal sealing and dentin bond strength of Class V resin composite restorations: an in vitro study.

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Evaluation of cuspal deflection and fracture resistance of endodontically treated teeth restored with different restorative material combinations.

Clinical oral investigations·2025

Restoring endodontically treated teeth involves complex factors beyond tooth type. The Restorative Difficulty Evaluation System (RDES) identifies key determinants like endodontic complexity and marginal seal for better treatment planning.

Area of Science:

  • Dental Restorations
  • Endodontics
  • Restorative Dentistry

Background:

  • Restoring endodontically treated teeth presents unique challenges.
  • Accurate pre-operative assessment is crucial for successful treatment outcomes.
  • Existing methods may not fully capture the multidimensional nature of restorative difficulty.

Purpose of the Study:

  • To evaluate restorative difficulty levels for endodontically treated teeth across the entire dental arch.
  • To utilize a comprehensive, multidimensional scoring system for difficulty assessment.
  • To identify key factors influencing restorative difficulty.

Main Methods:

  • A total of 1000 teeth from 654 patients were assessed clinically and radiographically.
  • The Restorative Difficulty Evaluation System (RDES), an 8-parameter index, was used for scoring.
Keywords:
Endodontically treated teethRestorative Difficulty Evaluation Systemmarginal sealtreatment planning

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  • Data were analyzed using various statistical tests (Kruskal-Wallis, Dunn, Chi-square, Fisher-Freeman-Halton).

    • Main Results:

    • Nearly 50% of evaluated teeth were categorized as high difficulty.
    • Significant differences in difficulty parameters were found among incisors, premolars, and molars.
    • Endodontic complexity and marginal seal were primary determinants of restorative difficulty.

    Conclusions:

    • Restorative difficulty is influenced by multiple clinical factors, not just tooth anatomy.
    • Molars present higher technical risks, while incisors have distinct esthetic and wear demands.
    • The RDES is a standardized tool for pre-operative assessment, improving treatment predictability.