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Review
. 2024 Aug 24;16(8):e67698.
doi: 10.7759/cureus.67698. eCollection 2024 Aug.

Direct Versus Indirect Treatment Options of Endodontically Treated Posterior Teeth: A Narrative Review

Mai M Alhamdan  1 , Rodina F Aljamaan  2 , Munira M Abuthnain  2 , Shahd A Alsumikhi  2 , Ghada S Alqahtani  2 , Reem A Alkharaiyef  2
Affiliations
Review

Direct Versus Indirect Treatment Options of Endodontically Treated Posterior Teeth: A Narrative Review

Mai M Alhamdan et al. Cureus. .

Abstract

One of the controversial topics in dentistry is restoring endodontically treated posterior teeth. Most posterior teeth that undergo endodontic treatment are subjected to a high rate of fracture due to excessive amount of loss of tooth structure. The aim of this review is to evaluate and compare the restorative and prosthetic treatment options to provide clinical recommendations for restoring endodontically treated posterior teeth. Both Medline on PubMed and Google Scholar were utilized for the search. The terms on our keyword list were "crown," "onlay," "endo-crown," "amalgam," and "composite," with the time frame from 1977 to 2024. We also examined the reference lists of potentially relevant papers for any recent review articles. Our analysis examined review articles found through computerized searches, along with relevant citations from the bibliographies of those studies. This review will focus on the dental restorative options and the amount of remaining tooth structure in determining the final restoration of an endodontically treated posterior tooth. This narrative review addresses different treatment options for endodontically treated posterior teeth based on the amount of remaining tooth structure. In addition, it compares the survival rate and the limitations among direct and indirect restorations.

Keywords: crown; endo-treatment; final restoration; posterior; tooth structure.

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Conflict of interest statement

Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

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