Recent techniques and treatment of restoration of endodontically treated teeth: a review

Reframing Perceptions in Restorative Dentistry: Evidence-Based Dentistry and Clinical Decision-Making

“…e restoration of ETT may represent another challenge for endodontics and restorative dentists as there is no consensus on the best treatment/restoration after RCT [50].…”

“…e remaining coronal tooth structure and the functional requirements are critical factors in clinical decision-making regarding the restoration of such teeth [51]. e best method of treatment aims to achieve greater longevity of the brittle tooth and to increase its fracture resistance [50,52]. 13.8% of our dentists routinely insert a post and 23% crown an ETT regardless of the remaining tooth structure.…”

“…ese results, although indicating that the scientific background of the clinician affects his or her clinical decision in practice contradict the results of Turp and his colleagues which found a preference for endodontics to post and crown ETT [51]. e scientific evidence-based dentistry/endodontics regarding the best method of treating ETT is debatable and not clear due to lack of randomized clinical studies that can be compared, the continuous emergence of new adhesive materials and bonding procedures, various treatment strategies adopted by clinicians according to different clinical experience, and inconsistent, conflicting results with various materials and different experimental designs [50,[52][53][54]. Nevertheless, it is clearly stated that the remaining tooth structure and the permanent coronal seal play a vital role in determining the long-term success of the final restoration [50,[54][55][56], the position of the tooth in the arch affects the necessity of posting the tooth or not [55,57], and such tooth can benefit from the advances of adhesive materials for cementing the posts and the cuspal coverage [52][53][54]56].…”