Restoring the Endodontically Treated Tooth: Treatment Planning Considerations

Abstract

The objective of this chapter is to provide different treatment considerations to guide the clinician in the practice of evidence-based dentistry when performing treatment plans for endodontically treated teeth. As some of the existing literature is not clinically relevant, one must understand the limitations of published studies as they apply to clinical dentistry.There are known clinical complications one could anticipate when attempting to restore a severely weakened vital or non-vital tooth with minimal residual sound tooth structure, incomplete ferrule, and fewer than two proximal contacts. The decision to endodontically treat a tooth should be based on its expected function within the entire dentition and whether or not it could predictably utilize its function for a long time. When the integrity of the enamel and dentin is compromised, one should consider coronal coverage, whether the tooth is vital or non-vital. Other chapters will discuss the different post and core materials and alternatives.Ultimately, it is our responsibility to inform the patient of the risks/benefi ts and effort involved in attempting to maintain and restore a tooth.

Recent trends in post endodontic restorations: A comprehensive case series

“…According to the cuspal coverage, the type of restoration can be classified as onlays where at least one cusp is covered, inlays where no cusp is covered and overlays wherein all the cusps are covered. Cuspal coverage protects the remaining tooth structure from heavy occlusal loading which extends the life of the tooth [2,3] . A recent advancement is the introduction of endocrowns, zirconia post and core and crownlays which assembles the intra-radicular post, the core and the crown in one component giving it a monoblock effect [4] .…”