Prof. Massimo Giovarruscio

DDS,MDS, Dip Dent Rome

Title: The Endodontic Prosthodontics Interface. From the canal to the crown. Clinical options for daily practice.

Aims and Objectives:
To give indications in this presentation why we will choose either direct or indirect restoration in different clinical situations and the type of corono-radicular restoration procedure that should be adopted.

Endodontic success is achieved not only by obtaining a proper apical seal but also a coronal seal. Coronal leakage is one of the main reasons for long-term failure of endodontically treated teeth. After the endodontic treatment is completed, a coronal restoration is necessary in order to obtain an adequate coronal seal. A pulpless tooth is different to a vital tooth, mainly in terms of remaining tooth structure. Hence, it is the residual dentinal tissue (and its preservation) that mainly dictates the restoration. This is particularly important for severely compromised teeth, where we should accurately choose the best restoration.

Many techniques are available for the reconstruction and restoration of pulpless decayed teeth. Is a root canal post absolutely necessary? Which core materials should be used? Should a crown be placed after root canal therapy? With modern adhesive dentistry there are two treatment possibilities for anterior and posterior teeth: placement of a direct restoration or placement of an indirect restoration.

Adhesive techniques can be used in either approach to achieve coronal restoration which will seal properly. To obtain favourable long-term results, the restoration must protect the tooth against excessive load. The cervical region of the restored tooth is subject to the most stress. We should restore an endodontically treated tooth in the most conservative way possibly minimizing any futher tooth structure loss; adhesive techniques offer potential advantages.

Biography:
Prof. Massimo Giovarruscio is a highly skilled professional, with extensive experience in Endodontics, Restorative and Aesthetic Dentistry. With over 20 years’ experience in dentistry, he has developed his reputation within the profession as an excellent endodontist, clinician and educator. He is accredited Specialist in Endodontics and he was a Clinical Teacher in Endodontics at King’s College London Dental Institute to both Undergradute and Postgraduate students for more the 15 years. He works in Rome, Bristol and London, specialising in Endodontic Treatment and Restoration of Endodontically Treated Teeth and is regarded as an World Opinion Leader in Endodontics and restorative procedures related to the endodontically treated tooth. He lectures world-wide and has published many articles in International journals, and wrote several endodontic chapter and manuals recognized and used by the University.