Post Endodontic Restoration: from root canal preparation to occlusal check
Post Endodontic Restoration: from root canal preparation to occlusal check
Course overview
Everything you need to know about the restorative protocols of endodontically treated teeth – An aesthetic-driven Endodontics by Giovanni Cavalli!
In 6 lessons, Dr. Giovanni Cavalli will unlock the secrets to aesthetic and long-lasting direct, semi-direct, and indirect restorations of endodontically treated anterior and posterior teeth.
Within the course you will learn in details about:
Post and core build-up
Direct composite restorations
Partial indirect restorations
Full crown restoration
Post cementation
Prosthetic restoration cementation
Complications and how to avoid them.
Course lessons
Lesson 1. The recovery of destroyed tooth in modern dentistry. General Guidelines
Radiographic analysis of clinical cases
To save a tooth or not? The foundation of this decision
Cases of impossibility of Endo/Restorative treatment
The prognosis of implantation over endodontic treatment
Evidence-based analysis of saving hopeless teeth
Endo-Resto-Perio-Prosthetic maintenance
Clinical cases of saving teeth with poor prognosis
Is fracture of a tooth avoidable? Do teeth become more brittle post endodontic treatment?
The roman arch structure of the tooth and the cuspal bending movement
How to use the inner space that serves as reconstructive support?
Physical and mechanical properties of the core in relation to the dentin
The properties of the reconstructive materials
The engineering architecture concept.
Lesson 2. Direct or indirect restorations: clinical application on endodontically treated teeth
Direct composite restoration of anterior teeth
Direct composite restoration of posterior teeth with or without the cusp overlay: indications and contraindications
The cuspal bending theory
The importance of the complex anatomy of the restoration
Core build-up and direct composite restoration of posterior teeth
Prosthetic restorations of anterior teeth
Do prosthetic restorations of anterior teeth increase the survival rate?
Anterior ceramic crowns as an aesthetic solution
Indirect restoration, partial-crown prep - composite restorations:
Indirect composite overlay for an endo-treated first molar
Teeth preparation: saving of healthy dentin tissue and the over gingival margin
The overlay preparation design: Butt joint, the ferrule, and preparation thickness
Rubberdamology and cementation of the restoration
The advantages and disadvantages of indirect composite restorations.
Indirect restorations, partial-crown prep - ceramic restorations:
Disilicate/silicate and hybrid ceramic overlay tooth preparation design: minimal thickness required
Bonding of indirect restorations: micromechanical bonding
The advantages and disadvantages of ceramic partial crowns.
Indirect restorations, partial-crown prep - zirconia restorations:
Tooth preparation technique
Bonding interface
The advantages and disadvantages of zirconia partial crowns.
General guidelines on preparation protocols of endodontically treated teeth
Clinical cases.
Lesson 3. The foundation for full crown restoration of endodontically treated tooth: Post & Core
The elastic modulus of endodontic posts
Post shape variations
Fiberglass, quartz, silica, and carbon fiber posts
Preparation of the post prior to cementation to improve the bonding strength: sandblasting and silanizing procedures
The selection of materials for post cementation:
self-adhesive resin cement
chemical cured total etch resin cement.
The bond strength and durability of fiber posts: evidence-based
The application of the cement inside the root canal
The removal of excessive cement, gutta-percha, sodium hypochlorite and EDTA from the canal
Bonding of post and core to the dentin
The etch&rinse adhesives vs. the etch&dry adhesives
Obtaining the high maintenance of the bonding
The coronal build-up.
Lesson 4. Operative steps of Post & Core cementation procedure
The micromechanical curing adhesion: etching, primer, and bonding
The clinical application of chemical-curing adhesion: self-etching primer and bonding-catalyst
The application of the cement into the canal: techniques to avoid bubbles and voids
Post length in the canal: the crown to post ratio
Evaluation of adhesion inside the root canal
Stress distribution in a post-restored tooth
Placement of post for premolars and molars
Step-by-step video demonstration of the operative procedure for post cementation:
Wide housing of the post
Defining the minimal difference between the post and the canal diameter.
Lesson 5. Full crown for post-endo restoration and occlusal considerations
The defective bond
The ferrule effect
Retentive protection of the bonded post & core
The roman arch structure restoration
Crown surgical lengthening or orthodontic extrusion
Fiber post vs. cast gold post
The three parameters for cervical cerclage and full crown retention
The finish line margin: chamfer, shoulder, knife edge
Minimal invasive preparation
Functional stress redistribution: occlusal load, load on the remaining cervical dentin, and load along the canal wall
The engineering and architectural concept of the restoration
Step-by-step video demonstration for full zirconia crown restoration of endodontically treated upper first molar:
Radiographic evaluation of the tooth post endo treatment
Application of the retraction cord
Mechanical preparation protocol
Taking of silicone impression
CAD/CAM laboratory procedure and try-in
Cementation of the restoration
Occlusal check.
Lesson 6. The Hollow Post application. The most common clinical complications and how to avoid them
The hollow post. A new post and core concept
Clinical application of the hollow post
The sandwich effect
Indications, advantages, and disadvantages of the hollow post
The removal of the post in the case of endodontic failure
The coronal sealing: when and how?
Prosthetic finalization. Overcoming the doubt in the case of large periradicular lesion.
