Lesson 8: Restoration placement

Coronal seal and post-endodontic restoration: Achieving predictable long-term success

Overview

This video discusses the importance of achieving a high-quality coronal seal after endodontic treatment, as well as the factors that should be considered when deciding on an appropriate restoration type. It compares direct versus indirect restorative options, materials, and techniques, to ensure the tooth's protection and long-term prognosis.

Key topics covered

• The relationship between good endodontic filling and a good restoration for optimal prognosis
• Importance of a good core or a foundation for an indirect restoration
• The use of isopropyl alcohol to clean the access cavity after sealer application
• Benefits of bulk-fill composites for simplifying the restorative process
• Application techniques for bulk-fill materials, such as the use of a fine layer over gutta-percha, followed by the bulk-fill and a final capping layer with a regular composite
• The rationale for choosing between a direct composite restoration versus an indirect restoration (onlay or crown) after endodontic treatment
• Benefits and techniques for using dual-cure composite resins for coronal seal and restoration
• Considerations for anterior and posterior teeth when selecting restoration types
• Advantages of onlays for preserving tooth structure, particularly in the cervical region

Clinical relevance

This video offers dentists guidance on the selection of restorative materials and techniques following endodontic treatment. It helps to decide whether a direct or indirect restoration is more appropriate, considering factors like cuspal coverage, preservation of tooth structure, and long-term prognosis.

Learning outcomes

After watching this video, dentists will be able to:

• Select appropriate materials for creating an effective coronal seal
• Decide when a direct composite restoration is sufficient, versus when an indirect restoration is necessary
• Apply bulk-fill techniques for efficient and predictable restoration
• Understand the benefits of onlay for preserving tooth structure in the cervical region
• Implement best practices for achieving predictable long-term outcomes in post-endodontic restorations