Optimizing the restoration of posterior endodontically treated teeth

The tale of “three losses” begins with the teeth daily undergoing detrimental actions by multiple factors, some of which become pathological and trigger the significant first loss of restrained quantity of dental hard tissues. If not addressed adequately through different types of prevention, loss of tooth vitality is the second step that will follow. Endodontically treated teeth are often the last stage before tooth loss. Understanding failure mechanisms, reducing tissue mutilation and optimizing restorative approaches are crucial elements to avoid or push away the extraction phase.
Multiple approaches for the restoration of moderately and severely damaged posterior endodontically treated teeth were evaluated. It was noticed that the literature is not very concise on that subject, and that some restorative approaches were generalized for the entire class of endodontically treated teeth. In the present work, new restorative concepts were proposed according to the extent of the damage of the tooth, and the geometry of the defect.
Presuming that treatments should ideally be individualized as much as possible, and even to the tooth by tooth degree, this thesis aimed to progress closer in that direction.