Fatores relacionados à fratura de dentes tratados endodonticamente

Abstract

The longevity of endodontically treated teeth is a widely discussed subject in the field of restorative dentistry and it has issues that go beyond the scope of endodontics. It is not uncommon for a tooth rehabilitated to present a crown-root fracture, which may compromise its viability, after endodontic therapy. Considering the biological cost involved in tooth loss, or the material cost used for treatments to be redone, it is important that dental surgeons are able to draw up the appropriate treatment plan. Restorative planning still represents differences of opinion, both in clinical practice and in the scientific field, considering the variables involved such as structural loss, dental absences, tooth positioning in the arch, number and location of lost cusps, presence or not of intraretainer. -radicular, among countless other clinical variables, play an important role in the longevity of the restorative treatment and must be individually analyzed. The aim of this study was to evaluate the factors related to the fracture of endodontically treated teeth. Through this literature review, we concluded that the structural variable, related to its masticatory function, is the main responsible for the prognosis of endodontically treated teeth. For this reason, it should be considered as a priority when choosing the restorative procedure. It is extremely important that the community of dental surgeons have current technical/scientific knowledge to guide their choices in clinical practice, basing the individual analysis of the restorative planning of endodontically treated teeth