F01 B: Restorative Decision Making for Endodontically Treated Teeth: Part 2

F01 B: Restorative Decision Making for Endodontically Treated Teeth: Part 2

Course Summary:

Restoring the pulpless tooth varies dramatically from practitioner to practitioner, with widely different results. We’ll review the cutting-edge scientific knowledge of restoring endodontically treated teeth. Participants learn when to use a simple core and when to use dowels. The explosion of Biomimetic dentistry has reached endodontically treated teeth and offers some alternatives that need to be considered as well. We’ll consider the myriad of restoration options on the table and learn when each is best applicable based on the research available today. While we always strive to avoid a dowel, we must also explore the clinical ramifications of dowel selection when a dowel is actually indicated. Tips for clinical success are offered to optimize the use of most dowels available on the market today. 

Dr. Sharifi’s master’s research included threaded, tapered, parallel, prefabricated and custom cast dowels. The clinical implications of that research will be shared with a full clinical outline providing restorative dentists an opportunity to observe the clinical treatment from start to finish. Computer model research is summarized to support treatment recommendations. 

Recent protocols for identifying the endodontic failure should help to clarify the dilemma we face when determining the fate of a tooth to extraction or restoration. We’ll discuss the implication of the root canal on the restorative success of the tooth to compare these treatment options. Dr. Sharifi will present the science that has helped us clarify where and when along the continuum the endodontically treated tooth should be extracted.

Course Objectives:

Clinical issues are explored throughout the presentation and participants should be able to:

·     Have a clear understanding of the implications of prefabricated & custom cast dowels

·     Consider the dowel specific cements available and make a strong selection

·     Outline the clinical treatment protocol from start to finish

·     Provide a simple explanation of the ferrule effect and how to maximize it

·     Understand the options available to diagnose and treatment plan the endodontic failure

·     Diagnose the various resorptions that can occur and plan the appropriate course of action

Speakers