Биология ва тиббиёт муаммолари 2025 №6 (166)
Subject of the article
MODERN APPROACHES TO RESTORING ENDODONTICALLY TREATED TEETH USING ADHESIVE TECHNIQUES (411-417)
Authors
Kim Vitaly Eduardovich, Kubaev Aziz Saidalimovich, Gulmukhamedov Pulat Bakhtiyorovich, Mun Tatiyana Olegovna
Institution
1 - Hospital Orthopedic Dentistry, Republic of Uzbekistan, Tashkent; 2 - Tashkent State Medical University, Republic of Uzbekistan, Tashkent; 3 - Samarkand State Medical University, Republic of Uzbekistan, Samarkand
Abstract
Advancements in adhesive dentistry have significantly transformed the restoration strategies for endodontically treated teeth (ETT). The traditional reliance on cast post-and-core systems has gradually given way to fiber-reinforced posts, reflecting a paradigm shift not only in materials but also in restorative philosophy. While earlier approaches prioritized mechanical strength, contemporary focus has increasingly turned to failure patterns, particularly the risk of catastrophic, non-restorable fractures—even with fiber post systems. In response, postless restorative concepts have emerged, aiming to enhance the reparability and long-term prognosis of ETT. This critical review synthesizes the current evidence regarding adhesive restoration strategies for ETT, with particular emphasis on cases involving varying degrees of coronal tooth structure loss. Key topics addressed include the impact of partial versus full-coverage restorations, the significance of the ferrule effect, the influence of post type on failure modes, and the viability of postless alternatives such as endocrowns and direct adhesive build-ups. Despite a general consensus that the quantity and quality of re-maining tooth structure are pivotal to the clinical success of ETT, conflicting data persist regarding the role of post sys-tems in preventing root fractures and the relative benefits of avoiding post placement altogether. Given these uncertain-ties, further long-term clinical investigations are warranted to validate the effectiveness and reliability of modern postless adhesive techniques in comparison to conventional post-based methods.
Key words
tooth, nonvital, dental materials, crowns, dental restoration failure, dental bonding.
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