Dr Carvalho is a member of the BioEmulation group and the clinician in charge of biomimetic and esthetic dentistry in a private practice, the Brazilian Center of Esthetic Dentistry in Goiania, Brazil. He is also clinic and research professor at Evangelic University of Goias (UniEvangélica) in Anapolis, Brazil. Dr Carvalho obtained his PhD title researching about the adhesive restoration of broken down endodontically treated teeth in collaboration with Dr Magne at the USC, Los Angeles. He also serves as a scientific reviewer for several prestigious international journals such as the Journal of Prosthetic Dentistry (JPD), Journal of Prosthodontics (JOPR), Operative Dentistry (OPER DENT), Journal of Esthetic and Restorative Dentistry (JERD), Dental Materials, Clinical Oral Investigations (COI), International Journal of Esthetic Dentistry (IJED) and others.
N E X T
A BIOMIMETIC APPROACH WHEN RESTORING ENDODONTICALLY TREATED TEETH
Adhesive procedures have changed the way to restore endodontically treated teeth (ETT). It started with the shift from cast post-and-core to fiber post. The original focus on material strength also shifted towards failure modes, revealing that catastrophic failures are still a concern when restoring ETT even with fiber posts. As an alternative, postless approaches have been proposed in order to improve the chances of repair. The goal of this presentation is to address the current knowledge on adhesive approaches to restore ETT with extensive coronal tissue loss and to present an alternative to the traditional “retention and resistance form” approach . The role of the ferrule, the post type effect on catastrophic failures and postless alternatives as endocrowns and postless build-ups will be discussed. New researches are presenting promising results with a more biomimetic approach for the restoration of broken down ETT, specially in the anterior region. In addition, new research data indicates that bonding enhancement on ETT can be obtained when performing immediate denting sealing prior to root canal (re)treatment, a concept known as Immediate Pre-endo Dentin Sealing (IPDS).
OBJECTIVES: At the completion of the course, participants will be able to:
Describe the role of the ferule, post type and presence of a post in the catastrophic failures of endodontically treated teeth
Understand the importance of preventing catastrophic failures with more biomimetic approaches when restoring broken down endodontically treated teeth
Comprehend the reasons and steps of Immediate Pre-endo Dentin Sealing (IPDS) concept for bonding optimization in teeth to be submitted to root canal (re)treatment.
AGD Subject Code: 250 Operative (Restorative) Dentistry