Criteria for the predictably restorable endodontically treated tooth. 1998

A McLean

This paper outlines criteria which allow the clinician to identify endodontically treated teeth that can be restored with a high level of predictability. The intent of the article is not to preclude the restoration of teeth that do not meet these criteria; it is to provide a science-based approach for identifying those teeth with a high probability of long-term success upon restoration. For an endodontically treated tooth not requiring a post, the requirements are for biologic width + ferrule length, (i.e. 4.5 mm of supra-bony solid tooth--dentin a minimum of 1 mm thick after preparation). A tooth requiring a post needs, in addition, enough root length to allow a 4 mm apical seal and a post length--apical to the crown margin, equal to the length of the crown. It is essential to assess the functional loads to which the restored tooth would be subjected. Teeth that are endodontically treated, or are likely to be in future, should be avoided as abutments supporting precision attachment RPDs, distal extension RPDs or cantilever FPDs.

UI MeSH Term Description Entries
D011176 Post and Core Technique Use of a metal casting, usually with a post in the pulp or root canal, designed to support and retain an artificial crown. Dental Dowels,Dental Dowel,Dowel, Dental,Dowels, Dental,Post Technic,Post Technique,Post and Core Technic,Post-Core Technic,Post Technics,Post Techniques,Post-Core Technics,Technic, Post,Technic, Post-Core,Technics, Post,Technics, Post-Core,Technique, Post,Techniques, Post
D011379 Prognosis A prediction of the probable outcome of a disease based on a individual's condition and the usual course of the disease as seen in similar situations. Prognostic Factor,Prognostic Factors,Factor, Prognostic,Factors, Prognostic,Prognoses
D003442 Crowns A prosthetic restoration that reproduces the entire surface anatomy of the visible natural crown of a tooth. It may be partial (covering three or more surfaces of a tooth) or complete (covering all surfaces). It is made of gold or other metal, porcelain, or resin. Dental Crowns,Crown, Dental,Crowns, Dental,Dental Crown,Crown
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D019553 Tooth, Nonvital A tooth from which the dental pulp has been removed or is necrotic. (Boucher, Clinical Dental Terminology, 4th ed) Tooth, Devitalized,Tooth, Endodontically-Treated,Tooth, Pulpless,Teeth, Devitalized,Teeth, Endodontically-Treated,Teeth, Nonvital,Teeth, Pulpless,Devitalized Teeth,Devitalized Tooth,Endodontically-Treated Teeth,Endodontically-Treated Tooth,Nonvital Teeth,Nonvital Tooth,Pulpless Teeth,Pulpless Tooth,Teeth, Endodontically Treated,Tooth, Endodontically Treated

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