Fig. 1

Clinical data:

Age 35 years old

Tooth 41 

Dg: Parodontitis apicalis acuta

Treatment plan :

Root canal treatment

Direct restoration with composit 

Fig. 2


Fig. 3

A lower incisor with two canals, the root canal treatment was done in one visit 

Fig. 4

A lower incisor with two canals, the root canal treatment was done in one visit 

Fig. 5

Multiple tooth isolation after root canal treatment

Fig. 6

Minimally invasive preparation 

Fig. 7


Fig. 8

Bonding procedure

Fig. 9


Fig. 10


Fig. 11

Completed case


With a direct restoration after the  endodontic treatments we achieve a very good coronary sealing. Furthermore it can be applied in cases when we have sufficient tooth structure.

Other  factors such as oral hygiene, tooth position, patient requirements and financial capabilities, risk factors such as occlusal dysfunction, bruxism and other possible abnormalities should also be considered.

The later need to cover the tooth with a full crown should not be neglected. 


  1. Alan Atlas, DMD/ Simone Grandini, DDS, MSc, PhD/ Marco Martignoni, Evidence-based treatment planingfor the restoration of endodontically trreated single teeth: impostance of coronal seal, post vs no post, and indirect vs direct restoration, Quintessence International Vol 50 No 10 November / December 2019
  2. Richard S.Schwarz, DDS and James W.Robbins, DDS,MA Post placement and restoration of endodontically treated teeth: A literature view, Jurnal of Endodontic Vol 30, No 5, May 2004 
  3. James W.Robbins, DDS, MS Guidelinesfor the restoration of endodontically treated teeth JADA Vol 120, May 1990
  4. Giacomo Corsentino,DDS,PhD, et Al. Influence of access cavity preparation and remaining tooth substance on fracture strength of endodontically treated teeth. Journal of Endodontics Vol 44, Issue 9, September 2018.