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Case Study
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Restoring Endodontically Treated Teeth According to Aesthetic Standards

A Case Presentation

Learning Objectives: 

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.

  

Related Reading:

  1. Cohen S, Burns R. Pathways of the Pulp. 4th ed. St. Louis, MO: Mosby; 1987:640-684.
  2. Shillingburg HT, Hobo S, Whitsett LD, et al. Fundametals of Fixed Prosthodontics. 2nd ed. Carol Stream, IL: Quintessence Publishing; 1981:147-159.
  3. Shillingburg HT, Kessler JC. Restoration of the Endodontically Treated Tooth. Carol Stream, IL: Quintessence Publishing; 1982:13-203.
  4. Malone WFP, Koth DL, Cavazos E, et al. Tylman's Theory and Practice of Fixed Prosthodontics. 8th ed. St. Louis, MO: Ishiyaku EuroAmerica Inc.; 1989:410-415.
  5. Guzy GE, Nicholls JI. In vitro comparison on intact endodontically treated teeth with and without endo-post reinforcement. J Prosthet Dent 1979;42(1):39-44.
  6. Rud J, Omnell KA. Root fractures due to corrosion. Diagnostic aspects. Scand J Dent Res 1970;78(5):397-403.
  7. Sorensen JA, Martinoff JT. Intracoronal reinforcement and coronal coverage: A study of endodontically treated teeth. J Prosthet Dent 1984;51(6):780-784.
  8. Sorensen JA, Martinoff JT. Clinically significant factors in dowel design. J Prosthet Dent 1984;52(1):28-35.
  9. Caputo AA, Standlee JP. Biomechanics in Clinical Dentistry. Carol Stream, IL: Quintessence Publishing; 1987:185-186.
  10. Trabert CK, Caputo AA, Abou Ross M. Tooth fracture - A comparison of endodontic and restorative treatments. J Endod 1978;4(11):341-345.
  11. Lovdahl PE, Nicholls JI. Pin-retained amalgam cores vs. cast-gold dowel-cores. J Prosthet Dent 1977;38(5):507-514.
  12. Gelfand M, Goldman M, Sunderman EJ. Effects of complete veneer crowns on the compressive strength of endodontically treated teeth. J Prosthet Dent 1984;52:635-638.
  13. Libman WJ, Nicholls JI. Load fatigue of teeth restored with cast posts and cores and complete crowns. Int J Prosthodont 1995;8(2):155-161.
  14. Kurer HG, Combe EC, Grant AA. Factors influencing the retention of dowels. J Prosthet Dent 1997;38:515-525.
  15. Ruemping DR, Lund MR, Schnell RJ. Retention of dowels subjected to tensile and torsional forces. J Prosthet Dent 1979;41:159-162.
  16. Zmener O. Effect of dowel preparation on the apical seal of endodontically treated teeth. J Endod 1980;6(8):687-690.
  17. Mattison GD, Delivanis PD, Thacker RW Jr, Hassell KJ. Effect of post preparation on the apical seal. J Prosthet Dent 1984;51(6):785-789.
  18. Wirz J, Christ R. In vitro study of the occurrence of screw and pin corrosion in dental prosthesis structures. SSO Schweiz Monatsschr Zahnheilkd 1982;92(5):408-428.
  19. Eliasson S, Bergström J, Sanda A. Periodontal bone levels of teeth with posts. A radiographic study. J Clin Periodontol 1995;22(11):850-853.
  20. Duret B, Reynaud M, Duret F. New concept of coronoradicular reconstruction: The Composipost (1). Chir Dent France 1990;60(540):131-141.
  21. Engelman MJ, Sorensen JA, Avera SP, Lew D. Effect of luting agents on corrosion resistance of metal posts. J Dent Res 1990;69(Abstract No. 913):223.
  22. Arvidson K, Wroblewski R. Migration of metallic ions from screwposts into dentin and surrounding tissues. Scand J Dent Res 1978;86(3):200-205.
  23. Assif D, Oren E, Marshak BL, Aviv I. Photoelastic analysis of stress transfer by endodontically treated teeth to the supporting structure using different restorative techniques. J Prosthet Dent 1993;69:36-40.
  24. King PA, Setchell DJ. An in vitro evaluation of a prototype CPRC prefabricated post developed for the restoration of pulpless teeth. J Oral Rehabil 1990;17(6):599-609.
  25. Sorensen JA, Mito WT. Rational and clinical technique for esthetic restoration of endodontically treated teeth with the Cosmopost and IPS Empress Post System. Quint Dent Technol 1998;81-90.
  26. Hormati AA, Denehy GE. Microleakage of pin-retained amalgam and composite resin bases. J Prosthet Dent 1980;44(5):526-530.
  27. Dishman MV, Covey DA, Baughan LW. The effects of peroxide bleaching on composite to enamel bond strength. Dent Mater 1994;10(1):33-36.
  28. Barkhordar RA, Kempler D, Plesh O. Effect of nonvital bleaching on microleakage of resin composite restorations. Quint Int 1997;28(5):341-344.
  29. Meyenberg HK, Lüthy H, Schärer P. Zirconia posts: A new all-ceramic concept for nonvital abutment teeth. J Esthet Dent 1995;7(2):73-80.
  30. Dietschi D, Romelli M, Goretti A. Adaptation of adhesive posts and cores to dentin after fatigue testing. Int J Prosthodont 1997;10(6):498-507.
  31. Schweiger M, Frank M, Cramer von Clausbruch S, et al. Mechanical properties of a pressed ceramic core to a zirconia post. Quint Dent Technol 1998;21:71-77.
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