Present status and future directions: The restoration of root filled teeth

Francesco Mannocci; Kerstin Bitter; Salvatore Sauro; Paolo Ferrari; Rupert Austin; Bhavin Bhuva

doi:10.1111/iej.13796

Present status and future directions: The restoration of root filled teeth

Francesco Mannocci^*, Kerstin Bitter, Salvatore Sauro, Paolo Ferrari, Rupert Austin, Bhavin Bhuva

^*Corresponding author for this work

Research output: Contribution to journal › Review article › peer-review

46 Citations (Scopus)

Abstract

This narrative review will focus on a number of contemporary considerations relating to the restoration of root filled teeth and future directions for research. Clinicians are now more than ever, aware of the interdependence of the endodontic and restorative aspects of managing root filled teeth, and how these aspects of treatment are fundamental to obtaining the best long-term survival. To obtain the optimal outcomes for patients, clinicians carrying out endodontic treatment should have a vested interest in the restorative phase of the treatment process, as well as an appreciation for the structural and biomechanical effects of endodontic-restorative procedures on restoration and tooth longevity. Furthermore, the currently available research, largely lacks appreciation of occlusal factors in the longevity of root filled teeth, despite surrogate outcomes demonstrating the considerable influence this variable has. Controversies regarding the clinical relevance of minimally invasive endodontic and restorative concepts are largely unanswered with respect to clinical data, and it is therefore, all too easy to dismiss these ideas due to the lack of scientific evidence. However, conceptually, minimally invasive endodontic-restorative philosophies appear to be valid, and therefore, in the pursuit of improved clinical outcomes, it is important that the efficacies of these treatment protocols are determined. Alongside an increased awareness of the preservation of tooth structure, developments in adhesive bonding, ceramic materials and the inevitable integration of digital dentistry, there is also a need to evaluate the efficacy of new treatment philosophies and techniques with well-designed prospective clinical studies.

Original language	English
Pages (from-to)	1059-1084
Number of pages	26
Journal	International Endodontic Journal
Volume	55
Issue number	S4
Early online date	19 Jul 2022
DOIs	https://doi.org/10.1111/iej.13796
Publication status	Published - Oct 2022

Keywords

crown
dentine bonding
endocrowns
onlay
post
root filled teeth

Access to Document

10.1111/iej.13796

Cite this

@article{f5a071d8eefa4e0295a2e94fed4e1796,

title = "Present status and future directions: The restoration of root filled teeth",

abstract = "This narrative review will focus on a number of contemporary considerations relating to the restoration of root filled teeth and future directions for research. Clinicians are now more than ever, aware of the interdependence of the endodontic and restorative aspects of managing root filled teeth, and how these aspects of treatment are fundamental to obtaining the best long-term survival. To obtain the optimal outcomes for patients, clinicians carrying out endodontic treatment should have a vested interest in the restorative phase of the treatment process, as well as an appreciation for the structural and biomechanical effects of endodontic-restorative procedures on restoration and tooth longevity. Furthermore, the currently available research, largely lacks appreciation of occlusal factors in the longevity of root filled teeth, despite surrogate outcomes demonstrating the considerable influence this variable has. Controversies regarding the clinical relevance of minimally invasive endodontic and restorative concepts are largely unanswered with respect to clinical data, and it is therefore, all too easy to dismiss these ideas due to the lack of scientific evidence. However, conceptually, minimally invasive endodontic-restorative philosophies appear to be valid, and therefore, in the pursuit of improved clinical outcomes, it is important that the efficacies of these treatment protocols are determined. Alongside an increased awareness of the preservation of tooth structure, developments in adhesive bonding, ceramic materials and the inevitable integration of digital dentistry, there is also a need to evaluate the efficacy of new treatment philosophies and techniques with well-designed prospective clinical studies.",

keywords = "crown, dentine bonding, endocrowns, onlay, post, root filled teeth",

author = "Francesco Mannocci and Kerstin Bitter and Salvatore Sauro and Paolo Ferrari and Rupert Austin and Bhavin Bhuva",

note = "Publisher Copyright: {\textcopyright} 2022 The Authors. International Endodontic Journal published by John Wiley & Sons Ltd on behalf of British Endodontic Society.",

year = "2022",

month = oct,

doi = "10.1111/iej.13796",

language = "English",

volume = "55",

pages = "1059--1084",

journal = "International Endodontic Journal",

issn = "0143-2885",

publisher = "Wiley-Blackwell",

number = "S4",

}

TY - JOUR

T1 - Present status and future directions

T2 - The restoration of root filled teeth

AU - Mannocci, Francesco

AU - Bitter, Kerstin

AU - Sauro, Salvatore

AU - Ferrari, Paolo

AU - Austin, Rupert

AU - Bhuva, Bhavin

PY - 2022/10

Y1 - 2022/10

N2 - This narrative review will focus on a number of contemporary considerations relating to the restoration of root filled teeth and future directions for research. Clinicians are now more than ever, aware of the interdependence of the endodontic and restorative aspects of managing root filled teeth, and how these aspects of treatment are fundamental to obtaining the best long-term survival. To obtain the optimal outcomes for patients, clinicians carrying out endodontic treatment should have a vested interest in the restorative phase of the treatment process, as well as an appreciation for the structural and biomechanical effects of endodontic-restorative procedures on restoration and tooth longevity. Furthermore, the currently available research, largely lacks appreciation of occlusal factors in the longevity of root filled teeth, despite surrogate outcomes demonstrating the considerable influence this variable has. Controversies regarding the clinical relevance of minimally invasive endodontic and restorative concepts are largely unanswered with respect to clinical data, and it is therefore, all too easy to dismiss these ideas due to the lack of scientific evidence. However, conceptually, minimally invasive endodontic-restorative philosophies appear to be valid, and therefore, in the pursuit of improved clinical outcomes, it is important that the efficacies of these treatment protocols are determined. Alongside an increased awareness of the preservation of tooth structure, developments in adhesive bonding, ceramic materials and the inevitable integration of digital dentistry, there is also a need to evaluate the efficacy of new treatment philosophies and techniques with well-designed prospective clinical studies.

AB - This narrative review will focus on a number of contemporary considerations relating to the restoration of root filled teeth and future directions for research. Clinicians are now more than ever, aware of the interdependence of the endodontic and restorative aspects of managing root filled teeth, and how these aspects of treatment are fundamental to obtaining the best long-term survival. To obtain the optimal outcomes for patients, clinicians carrying out endodontic treatment should have a vested interest in the restorative phase of the treatment process, as well as an appreciation for the structural and biomechanical effects of endodontic-restorative procedures on restoration and tooth longevity. Furthermore, the currently available research, largely lacks appreciation of occlusal factors in the longevity of root filled teeth, despite surrogate outcomes demonstrating the considerable influence this variable has. Controversies regarding the clinical relevance of minimally invasive endodontic and restorative concepts are largely unanswered with respect to clinical data, and it is therefore, all too easy to dismiss these ideas due to the lack of scientific evidence. However, conceptually, minimally invasive endodontic-restorative philosophies appear to be valid, and therefore, in the pursuit of improved clinical outcomes, it is important that the efficacies of these treatment protocols are determined. Alongside an increased awareness of the preservation of tooth structure, developments in adhesive bonding, ceramic materials and the inevitable integration of digital dentistry, there is also a need to evaluate the efficacy of new treatment philosophies and techniques with well-designed prospective clinical studies.

KW - crown

KW - dentine bonding

KW - endocrowns

KW - onlay

KW - post

KW - root filled teeth

UR - http://www.scopus.com/inward/record.url?scp=85134197691&partnerID=8YFLogxK

U2 - 10.1111/iej.13796

DO - 10.1111/iej.13796

M3 - Review article

C2 - 35808836

SN - 0143-2885

VL - 55

SP - 1059

EP - 1084

JO - International Endodontic Journal

JF - International Endodontic Journal

IS - S4

ER -

Present status and future directions: The restoration of root filled teeth

Abstract

Keywords

Access to Document

Other files and links

Fingerprint

Cite this