A modern guide in the management of endodontically treated posterior teeth

Abstract

AbstractDecision-making in the management of posterior endodontically treated teeth (ETT) is still considered a challenge for the clinician. The development of adhesion has led to a paradigm shift in the restorative treatment options. Restorations which depend on mechanical retention are not the only restorations currently available. Adhesive restorations are gaining more popularity due to their conservative nature. This article aimed to provide the clinician with a modern guide for the management of posterior ETT using adhesive restorations. A method of assessment of the remaining tooth structure which places the tooth in one of the three categories was recommended, and adhesive treatment options were suggested for each category. The three categories were minimally destructed teeth, which could be managed simply through intracoronal composite resin restorations; moderately destructed teeth, which could be managed through adhesive overlays; and severely destructed teeth, which could be managed through fiber post–core–crown combination, or through endocrowns.