Recent evidence reveals that successful endodontic treatment involves more than just effective root canal therapy. Indeed, long-term success requires also careful consideration of coronal restoration. The choice of restoration depends heavily on the residual coronal tooth structure, which can range from intact Class I access cavities to severely compromised or decapitated teeth.
Adding complexity is the management of patients with multimorbidity, where systemic conditions such as diabetes, cardiovascular disease, and psoriasis can influence the healing process of periapical lesions and the durability of restorations. Indeed, recent research demonstrated that oral conditions such as periapical lesions, periodontitis, and caries are associated with elevated levels of chronic inflammatory mediators, which can influence systemic health. This highlights the potential connection between oral and systemic health, suggesting that oral health conditions may be risk factors for various systemic diseases and vice versa. Given this interplay, it is essential to evaluate patients holistically, considering both the specific needs of the tooth and the broader health context. This presentation will examine how these elements intersect, reviewing the latest evidence and trends in coronal restoration techniques and their application to varying levels of tooth structure loss. By integrating clinical evidence with a comprehensive approach to patient health, the session aims to offer practical strategies for optimizing endodontic outcomes and addressing both technical and systemic considerations effectively.
web design by DOW MEDIA
