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Anterior teeth typically do not require full coverage restorations after a root canal procedure, unless there is extensive tooth loss from decay or for esthetics or unusual occlusion. Placement of a crown or cusp-protecting cast gold covering is recommended also because these have the best ability to seal the treated tooth.
The cost of the restoration is typically cheaper than composite restorations. Disadvantages of amalgam include poor aesthetic qualities due to its colour. Amalgam does not bond to tooth easily, hence it relies on mechanical forms of retention. Examples of this are undercuts, slots/grooves or root canal posts.
Onlays are indicated when there is a need to protect weakened tooth structure without additional removal of tooth tissue unlike a crown, e.g. restoring teeth after root canal treatment to give cuspal coverage. It can also be used if there is minimal contour of remaining coronal tooth tissue with little retention. [7]
After endodontic therapy has been executed, or re-executed, successfully, and the canals can no longer provide a nutrient-rich habitat for microbes, [31] the issue of bone healing comes into focus. Ostensibly, then, for regeneration to occur, the root canal system must have been decontaminated and further access to microbial invasion must be ...
Dental fillings are often used to fill cavities or holes after root canal treatment. [6] They can also be used to restore worn teeth or fill gaps between teeth. [ 7 ] Fillings can be made of amalgam (a metal alloy) or materials such as composite resin and glass ionomer.
An unusual root canal shape, complex branching (especially the existence of horizontal branches), and multiple root canals are considered as the main causes of root canal treatment failures. (e.g. If a secondary root canal goes unnoticed by the dentist and is not cleaned and sealed, it will remain infected, causing the root canal therapy to fail).
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