Minimally invasive composite restorations for endodontically treated teeth

Minimally invasive composite restorations for endodontically treated teeth

Biography:

Graduated from the University of Pavia, Italy Dottore in Odontoiatria -2001
Licentiate in Dental Medicine University of Geneva, Switzerland 2004
Post graduate degree in Geneva, Doctorate in Dental Medicine with a Thesis directed by Dr D. Dietschi – 2010.
Specialization in Microinvasive Aesthetic Dentistry directed by the Professor I. Krejci – 2005 to 2009.
Senior Lecturer, Student’s clinics Supervisor-Division of Cariology and Endodontology, Clinic of Dental Medicine University of Geneva.
Chef de Clinique for pre-grade students and in the post-grade Master of Advanced studies in Microinvasive Aesthetic Dentistry – 2013 and recently appointed Chef de Clinique Scientifique by the Faculty.
Visiting Professor for the Master of Aestetic Dentistry in UIC university of Barcelona.
Published research focused on adhesive indirect restorations and composite resins.
Co-Author of the chapter “Restaurations coronaires et corono-radiculaires des dents dépulpées” appearing in the book “Endodontie” of S. Simon, P. Machtou and WJ Pertot.

Abstract:

Minimally invasive composite restorations for endodontically treated teeth
Up to now minimally invasive dentistry focused on primary restorations such as preventive resin restorations and small adhesive composite restorations. It must be stressed that the principle of minimally invasive treatment in connection with highest quality implies not only primary restorations, but the field of re-dentistry as well, thus touching large restorations on vital and, in particular, on devitalized teeth.
Minimal invacivity could be achieved today by using adhesive techniques, because adhesion assures sufficient retention without the need of tooth-destructive macro-retentive and fricative elements. In this perspective, the adhesive restoration of endodontically treated teeth is an excellent example how adhesion has completely changed the restorative approach. With conventional techniques, a post-retained core build-up has to be made to achieve sufficient macro-mechanical retention of the prosthetic crown. The high bonding performances reached by modern adhesive systems have gradually changed this “dogma” and it is now time to reconsider real indications for post and crowns.
Several clinical cases will be presented to illustrate this change in paradigm by using direct and indirect adhesive composite resin techniques without radicular posts and crowns, thus showing easier, faster and cheaper alternative options to classical restorative procedures.