Article: Volume 43 Number 10 Page 933 - December 2016

  Dent Update 2016; 43: 933-938  Read article

Restorative dentistry:  The Restorability Assessment and Endodontic Access Cavity Interface

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Abstract: Successful root canal treatment requires management of the bacterial infection within the root canal space and protection of residual tooth structure with direct/indirect restorations. Long-term success depends upon prevention of re-infection of the root canal space as well as ensuring favourable distribution of the occlusal forces throughout the residual tooth structure. Appropriate planning and design of the final restoration prior to initiating root canal treatment is paramount in achieving this objective. This article describes simultaneous restorability assessment and access cavity preparation to optimize outcome of both endodontic and prosthodontic treatment of the endodontically involved tooth.

Clinical relevance: This paper proposes a method to improve visibility and reduce iatrogenic errors whilst simultaneously facilitating effective design of the definitive restoration based on the quantity and distribution of residual tooth structure.

Author notes: Graham Quilligan, BDS, NUI, MFDS RCSEd, MSc(Endo) UCL, PGCTLHE, Registrar in Restorative Dentistry, Cork University Dental School and Hospital, Cork, Ireland (gquilligan@ucc.ie), Gerald McKenna, BDS, MFDS FDS(Rest Dent), RCSEd, PgDipTLHE, PhD, FHEA, Senior Lecturer/Consultant in Restorative Dentistry, The Centre of Public Health, Queen’s University Belfast, Belfast, UK and P Finbarr Allen, BDS, PhD, MSc, FDS(Rest Dent) RCPS, FFD RCSI, FoD’s Dean Designate, and Director, National University Centre for Oral Health, Singapore.

Objective: To understand the importance of the restorability assessment prior to initiation of root canal treatment.

ADG