Restoring Endodontically Treated Teeth According to Aesthetic Standards
A Case Presentation
Mauro Fradeani, MD, DDS
This study describes aesthetic anterior restoration of endodontically treated teeth with a post and core system. Upon reviewing this study, the reader should:
- Have an understanding of the materials, methods, and procedures involved in anterior restorations using alternative systems and solutions.
- Recognize concerns for aesthetic restorations of endodontically treated teeth in compromised aesthetic conditions.
The restoration of endodontically treated teeth is significantly influenced by the condition of the underlying core. When minimal loss of dental structure has occurred, an amalgam, composite, or glass-ionomer cement buildup should be selected to restore the core. In patients who have experienced extensive loss of coronal tooth structure due to access preparation for the endodontic treatment, preexisting restorations, tooth fracture, or dental caries, coronoradicular stabilization is required to provide retention for the restoration.While post and core combinations are commonly utilized to restore extensive structure loss, the efficacy of posts to reinforce endodontically treated teeth remains a widely debated topic. Various studies have demonstrated that the placement of a post does not necessarily reinforce the endodontically treated tooth, but instead serves only as an attachment apparatus for prosthetic treatment. The purpose of a post is to support the overlying core, which consequently replaces the missing coronal tooth structure.
An increased emphasis on aesthetic considerations has resulted in the development of contemporary restorative systems for the coronal aspects and roots of endodontically treated teeth. While the absence of adequate dental structure complicates the restoration of endodontically treated teeth, the effective utilization of contemporary materials and techniques can render a definitive result that satisfies the aesthetic criteria of the patient and the functional criteria of the clinician.
*Special lecturer, Department of Prosthodontics, Louisiana State University, New Orleans, Louisiana; private practice, Pesaro and Milano, Italy.
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