Considerations for the aesthetic restoration of endodontically treated anterior teeth following intracoronal...

The major considerations in restoring the pulp chamber following bleaching of endodontically treated anterior teeth include aesthetics, function, appropriate endodontic access preparation, amount of remaining tooth structure, type of restorative material, prevention of microleakage, and prevention of iatrogenic perforation. The learning objective of this article is to review the considerations that must be made when placing aesthetic restorations in the pulp chamber and access opening of endodontically treated teeth following intracoronal bleaching. The advantages and disadvantages of the proposed techniques and materials are discussed, as are the methods for avoiding excessive removal of the tooth structure. Two case reports are used to demonstrate the clinical procedures. The authors suggest placing white gutta-percha stopping material in the pulp chamber and a composite restoration in the access opening following root canal treatment and/or bleaching procedures in the anterior dentition.