The biomimetic approach aims to restore teeth with restorations that mimic natural teeth in strength, function, esthetics, and biomechanical properties. The natural tooth is an absolute testament to the power of adhesion between two drastically different materials (enamel and dentin) which work together harmoniously to withstand the harsh conditions of the oral environment. Frequently, endodontically treated teeth present with substantial loss of natural tooth substrates (enamel and dentin) and we are challenged with restoring this complex structural deficit.
This lecture will cover the concepts behind restoring anything from the most simple and intact endodontically treated teeth to the severely damaged, no ferrule scenarios. An emphasis is placed on prioritizing and utilizing the best restorative strategies possible for a given scenario, but also in restoring teeth which have traditionally been abandoned in-favor of implant-supported restorations. Many patients and clinicians have preferences toward preserving the original root and periodontal ligament in order to postpone more invasive surgical procedures. This lecture will cover the ideal materials and technique to favorably restore teeth presenting with these more complex scenarios.
- Intro to Biomimetic approach
- Classification of endodontically treated teeth types with structural deficits
- Factors affecting successful adhesion (c-factor, polymerization shrinkage and stress, hierarchy of bondability)
- When is Post-indicated in the Biomimetic approach
- Literature review on adhesive build-up strategies for RCT teeth
- Ideal materials and techniques to restore endodontically treated teeth without ferrule
- Case Presentations