Bukiet Frederic, Tirlet Gil
Department of Conservative Dentistry and Endodontics, University Hospital de Marseille, Marseille, France.
Pract Proced Aesthet Dent. 2005 Aug;17(7):467-72; quiz 474.
This article presents a series of considerations for the adhesive restoration of the nonvital tooth. Although ensuring the marginal integrity of all elements is critical to the final restoration, the most important parameter in the restoration of an endodontically treated tooth is the evaluation of the loss of substance in volume, architecture, and location. It is also important for the dentist to consider other clinical parameters (eg, the age of the patient, the length of time since trauma, even the occlusal scheme) prior to initiating care for these teeth.
This article advocates the clinician's conservation of natural tooth structure when providing care to preserve the root anchorage due to repeated and invasive work that can result in microfractures or loss of tooth. Upon reading this article, the reader should: * Understand the need to preserve tooth structure by performing partial-coverage restorations. * Become more familiar with the indications for resin-bonded restoration for a devital tooth.