RGO: Revista Gaúcha de Odontologia (Jan 2008)
Reconstruction of endodontically treated teeth: intraradicular retainers
Abstract
There are many ways of restoring endodontically treated teeth. The quantity and quality of the dental remainder after endodontic treatment is questionable in terms of clinical longevity, not because of the coronal opening and therapy in themselves, but because of the destruction inherent to teeth affected by fractures and invasive carious processes. There are many commercial brands of posts and marketing artifices with the goal of maximizing resistance to masticatory forces. However, the major complexity found with regard to the definitive restoration is the doubt whether to insert a prefabricated post, cast metal or porcelain core as filling core. However, nothing is feasible if the parameters said to be safe were not used and the minimum mechanical requirements were not demanded. Growing commercial demand leads to unrestrained confusion in professionals that end up forgetting about or ignoring the minimum criteria demandable for a favorable prognosis. Compliance with the biomechanical bases is the most important parameter for increasing the quality of the intraradicular retainer. The aim of this study is to present basic techniques for more reliable restorations, maximizing the quality of the dental remainder when making extensive restorations that use intraradicular retainers in endodontically treated teeth.
