Modern Management of Endodontically Treated Teeth

Dear Colleagues,

Coronal and root fractures are the most frequent cause of teeth extraction in patients undergoing root canal therapy. Moreover, this is associated with the structural alteration of the teeth, which, following the loss of coronal tissue and endodontic treatment, significantly modifies their biomechanical behaviour. On the one hand, the loss of pulp tissue leads to the dehydration, demineralization, and alteration of the collagen component of the tooth. Furthermore, the lack of a coronal seal can result in bacterial micro infiltration, which is potentially the cause of reinfection of the root canal system. From this point of view, the possibility of endodontically treating teeth using minimally invasive approaches should be considered. The literature presents many studies related to the restoration of endodontically treated teeth. While there is much debate about the costs and benefits of the different types of restoration, it is, without a doubt, the quantity and quality of the residual dental tissue that must guide the clinician in choosing the type of restoration. Furthermore, root canal retention protocols should be used that do not cause further damage to the residual dental tissue. In brief, the correct management of the aspects listed above and adequate post-endodontic coronal restoration influence the long-term survival of endodontically treated teeth.

Dr. Alfredo Iandolo
Guest Editor

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• endodontics
• restorative
• prosthesis