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Restoration of Endodontically Treated Teeth

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Abstract

The restoration of endodontically treated teeth must be planned before initiating root canal treatment. Provisional (temporary) restorations during root canal treatment protect the root canal system form bacterial ingress and include zinc oxide eugenol or calcium sulfate preparations used for short periods and glass-ionomer or resin-modified glass-ionomers for longer interim periods. Ideally, a definitive core restoraton should be placed at the time of obturation, before removal of dental dam. The prognosis of mature teeth improves by conservation of tooth structure, avoiding posts whenever possible, avoiding gaps between gutta-percha and core restoration interface as well as full coverage restorations on anterior teeth and by the provision of cuspal coverage restorations on posterior teeth. Recent evidence suggests that conservative approaches, using direct-bonded resin-composite restorations, have promise for restoring largely intact posterior teeth. Fiber posts are associated with a higher incidence of restoration failure than metallic posts, but with a lower incidence of tooth fracture. When posts are indicated, preparations should be conservative, removing minimal radicular structures. The survival of immature teeth with open apices is enhanced by the use of bonded translucent resin composite core restorations rather than pre-formed stainless-steel crowns. Restoration quality is critical for both temporary and definitive restorations; bacterial contaminaitons must be permanently excluded. The main reason for extraction of endodontically treated teeth is not failure of endodontic treatment, but caries, inadequate restoration, periodontal disease and root fractures.

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Authors and Affiliations

  1. Hugh Love Center for Research and Education in Technology, Loma Linda University, Loma Linda, CA, USA

    Nadim Z. Baba

  2. School of Dentistry, University of California Los Angeles, Los Angeles, CA, USA

    Shane N. White

  3. Private Practice Limited to Endodontics, Los Angeles, CA, USA

    George Bogen

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  1. Nadim Z. Baba
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  3. George Bogen
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Correspondence to Nadim Z. Baba .

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  1. Section of Endodontics, UCLA School of Dentistry, Los Angeles, California, USA

    Nadia Chugal

  2. Dept of Endodontics, NYU College of Dentistry, New York, New York, USA

    Louis M Lin

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Baba, N.Z., White, S.N., Bogen, G. (2017). Restoration of Endodontically Treated Teeth. In: Chugal, N., Lin, L. (eds) Endodontic Prognosis. Springer, Cham. https://doi.org/10.1007/978-3-319-42412-5_10

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