Do We Still Need Intraradicular Retainers? Current Perspectives on the Treatment of Endodontically Treated Teeth

AbstractPurpose of ReviewFinding a balance between mechanical function of endodontically treated teeth and minimal remnant preparation is challenging. Minimally adhesive concepts are being explored as an alternative to the use of posts, cores, and classical fixed prostheses. Thereby, this review seeks to highlight and discuss the current knowledge on this issue.Recent FindingsConsidering the mechanical characteristics encountered in the different regions of the dental arch, recent evidence points to the benefits of endocrown restorations for the posterior region, being a promising option for molars and premolars (predominant axial load); however, intraradicular retainers are still suggested for the anterior region due to the incidence of lateral loads triggered by the oblique positioning and the main occurrence of flexural loads.SummaryThe quality of the remaining tooth, the possibility of maintaining the ferrule effect, and the region of the element to be treated are key factors that must be considered in the rehabilitation of pulpless teeth.
Source: Current Oral Health Reports - Category: Dentistry Source Type: research