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Article: Volume 43 Number 4 Page 319 - May 2016

  Dent Update 2016; 43: 319-334  Read article

Endodontics:  Modern Endodontic Principles Part 7: The Restorative Interface

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Abstract: The restoration of endodontically-treated teeth is a topic that has been extensively studied and yet remains controversial. The endodontically-treated tooth can be restored with a wide range of techniques of varying complexity. This article reviews the literature on this topic. Consideration is given to the ferrule and its importance in achieving success. Furthermore, consideration will be given to the use of endodontically-treated teeth as abutments for fixed and removable prostheses and the challenges this presents. Clinical recommendations are presented as guidelines to improve the predictability and outcome of treatment when restoring structurally compromised root-filled teeth.

Clinical relevance: The prognosis of endodontically-treated teeth depends not only on the success of the endodontic treatment, but also on the type of reconstruction.

Author notes: Warren Martin, BDS, LDS, MSc, MFDS, General Dental Practitioner/Clinical Teaching Fellow, Greyholme Dental Suite, Cheltenham/University Dental Hospital of Manchester, Carly Taylor, BDS, MSc, MFGDP, FHEA, Clinical Lecturer/Honorary Specialty Registrar in Restorative Dentistry, Sarra Jawad, BDS, BSc, MFDS, Specialty Registrar/Honorary Clinical Lecturer in Restorative Dentistry, Reza Vahid Roudsari, DDS, MFDS, MSc, PGCert(OMFS), Clinical Lecturer/Honorary Specialty Registrar in Restorative Dentistry, James Darcey, BDS, MSc, MDPH, MFGDP, MEndo, FDS(Rest Dent), Consultant and Honorary Lecturer in Restorative Dentistry and Alison Qualtrough, BChD, MSc, PhD, FDS MRD, Senior Lecturer/Honorary Consultant in Restorative Dentistry, University Dental Hospital of Manchester, Higher Cambridge Street, Manchester M15 6FH, UK.

Objective: To understand the basic principles guiding restoration of root-filled teeth, how to achieve the best outcomes and improve the long-term success of root canal treatment.