Considerations in the post-endodontic restoration

Jang, Ji-Hyun

doi:2021.59.9.517

J Korean Dent Assoc > Volume 59(9); 2021 > Article

Journal of Korean Dental Association 2021;59(9):517-524.
DOI: https://doi.org/10.22974/jkda.2021.59.9.005 Published online August 31, 2021.

근관치료후 코어수복

장지현

경희대학교 치과대학 치과보존학교실

Considerations in the post-endodontic restoration

Ji-Hyun Jang

Department of Conservative Dentistry, School of Dentistry, Kyung Hee University

Correspondence: Ji-Hyun Jang
Email: jangjihyun@khu.ac.kr

Abstract

It had been a common belief that the primary cause of failure of endodontically treated teeth depends on the quality of the root canal treatment. Disinfection of root canals via cleaning and shaping is the most important to resolve the periapical lesion, however, following coronal restoration of endodontically treated teeth is also con- siderably significant to rehabilitate the teeth, and to prevent the re-infection of root canal system. In the clinical situation, the importance of post-endodontic restoration including the removal of residual caries and unfavorable previous restoration, and following adequately performed dentin adhesion and core restoration seems to be passed over because it did not show the immediate complications of postoperative hypersensitivity. A postendodontic coronal restoration aims to prevent micro-leakage and subsequent bacterial ingress and contamination of the root canal complex. Thus, the choice of materials and methods, and the quality for post-endodontic restoration may influence the durability and prognosis of the teeth. In this article, the various considerations in the management of post-endodontic restoration and recent advance in restorative materials will be reviewed.

Key Words: Bulk-fill composite resin; Core restoration; Dentin adhesive; Incompatibility; Post-endodontic restoration