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Evolution and Integration of Current Restorative Endodontic Concepts Evolution and Integration of Current Restorative Endodontic Concepts

Author(s):

Sergio Rubinstein, DDS;Enrique Kogan, DDS, Gad Zyman, DDS, Alan J. Nidetz, DDS

Date Added:

1/1/0001


Summary:

The restoration of endodontically treated teeth was advocated by G.V. Black in 1869 followed by a one-unit post and crown by Richmond in 1878. Engineering principles indicate that structural strength on endodontically treated teeth is decreased by the removal of the roof of the pulp chamber, canal enlargement, and hence loss of integrity. The intrinsic strength of dentin can be diminished as a result of root canal treatment originated by decay, pathology, or trauma. When endodontic treatment is indicated, one must consider that the resulting anatomy and configuration of the canal(s) can vary according to its original anatomy, canal access, canal enlargement, and chemomechanical preparation. In addition, intrinsic dentin strength may be adversely affected by the absence of a pulp that results in a decrease of moisture content of dentin and consequently becoming more susceptible to fracture than vital teeth.

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