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Restoration of the Endodontically Treated Tooth: Prosthodontist’s Perspective – Ep. 45

Guest: Dean Vafiadis, D.D.S.

Delving into the digital conversation on the restoration of the endodontically treated tooth, in this episode we talk with prosthodontist and director of the New York University full mouth rehabilitation course, Dr. Dean Vafiadis. Dr. Dean’s vibrant and distinguished cantor draws listeners in as he defines FMR concepts, treatment goals and ideal treatment sequence of the endodontically treated tooth. We break down his patient-centered nuanced view around the paradigm shift of restorative endodontics and preserving peri-cervical dentin. Dr. Dean paints vivid anecdotes and draws from the literature to support his take on adhesive dentistry, pre-restorative endo and post placement. This discussion dares to simplify the dichotomous debate of restoring the posterior endo-treated teeth: full-coverage? And which occlusal schemes lead to fewer endodontic and TMJ issues in the future? Dr. Dean generously shares occlusal reduction tips, cracked teeth management and commonsense strategies for optimizing patient satisfaction, office efficiency and production.

Episodes of Endo Voices may include opinion, speculation and other statements not verifiable in the scientific method and do not necessarily reflect the views of AAE or the sponsor(s). Listeners should use their best judgment in evaluating the merits of any content.

Episode Resources

  1. Vafiadis D, Goldstein G. Single visit fabrication of a porcelain laminate veneer with CAD/CAM technology: a clinical report. J Prosthet Dent. 2011 Aug;106(2):71-3
  2. P A Rosenberg 1, P J Babick, L Schertzer, A Leung J Endod 1998 Jul;24(7):492-6.The effect of occlusal reduction on pain after endodontic instrumentation
  3. Abou-Rass M. The stressed pulp condition: an endodontic-restorative diagnostic concept.  J Prosthet Dent. 1982 Sep;48(3):264-7

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