Fig. 1

Pre-Op Xray the show us a big decay in the mesial part of the tooth.

Fig. 2

Endodontics steps initial, cone-fit, final

Fig. 3

Structural deficit affecting the central and lateral units of the middle and occlusal third of the cuspal residue with and without association of structural deficit of the distal marginal ridge and related occlusal views: covering total cerclage cusp.

Fig. 4

Restorative steps

Fig. 5

Final restoration and Rx


Correct and simple protocols allow us predictable results, too often we see clear examples of iatrogenic dentistry, which makes simple cases complex.


  1. Ng Y, Mann V, Rahbaran S, Lewsey J, Gulabivala K. Outcome of primary root canal treatment: systematic review of the literature—Part 1. Effects of study characteristics on probability of success. Int Endod J. 2007;40:921–39. 
  2. Kishen A.  Mechanisms and risk factors for fracture predilection in endodontically treated teeth. Endod Top. 2006;13:57–83.
  3. Fichera G Re D Restauri estetico-adesivi indiretti: modello per diagnosi di con figurazione cavitaria.