RESTODONTICS: The Gray Area:
Successful clinical outcome of endodontic treatment relies on the absence
of periapical inflammation. This significantly depends not only on the technical
quality of the endodontic treatment but also on the coronal restoration.
Restoring root canal treated teeth has long been a subject of debate which has
been extensively discussed in literature but still is controversial to our day.
Increased tooth fracture in endodontically treated teeth is a result of
structural breakdown caused by caries, fractures, previous restorations and
endodontic access. Fracture occurrence is more in posterior teeth than anterior
teeth because forces are higher and teeth are weaker. Hence, tooth should be
assessed for restorability, occlusal function, periodontal status, and issues such as
crown root ratio and periodontal health.
The best plan for success is to begin with the end in mind, therefore,
analyzing the situation, and the forces applied to the endodontically treated tooth
is the key to a comprehensive treatment plan. Different strategies have been
proposed for the restoration of endodontically treated teeth, from direct
composite resins to different materials of posts and cores, and partial or full
This topic will be tackled from an endodontic and restorative point of view
displaying different procedures carried out after completion of endodontic
treatment and their impact on the prognosis of devitalized teeth.
- Review all the contemporary techniques and materials available to restore
endodontically treated teeth.
- Evaluate the clinical conditions to be considered in selecting treatment
options for constructing long lasting restorations.
- Utilize the multidisciplinary approach as an essential part for the most
conservative, durable pan treatment protocol.