Contemporary Restoration of Endodontically Treated Teeth. Nadim Z. Baba
of Otolaryngology, Head and Neck Surgery
American University of Beirut Medical Center
Beirut, Lebanon
Professor of Orthodontics
Lebanese University School of Dentistry
Beirut, Lebanon
Adjunct Professor of Orthodontics
New York University College of Dentistry
New York, New York
Charles J. Goodacre, DDS, MSD
Dean and Professor of Restorative Dentistry
Loma Linda University School of Dentistry
Loma Linda, California
Robert A. Handysides, DDS
Chair and Associate Professor of Endodontics
Loma Linda University School of Dentistry
Loma Linda, California
David E. Jaramillo, DDS
Clinic Director and Associate Professor of Endodontics
Loma Linda University School of Dentistry
Loma Linda, California
Balsam F. Jekki, BDS
Assistant Professor of Restorative Dentistry
Loma Linda University School of Dentistry
Loma Linda, California
Rami Jekki, DDS
Assistant Professor of Restorative Dentistry
Loma Linda University School of Dentistry
Loma Linda, California
Mathew T. Kattadiyil, DDS, MDS, MS
Associate Professor of Restorative Dentistry
Director
Advanced Specialty Education Program in Prosthodontics
Loma Linda University School of Dentistry
Loma Linda, California
Hugo Campos Leitão, DMD, MSD
Assistant Professor in Periodontics
Universitat Internacional de Catalunya
Barcelona, Spain
Yiming Li, DDS, MSD, PhD
Professor of Restorative Dentistry
Director
Center for Dental Research
Loma Linda University School of Dentistry
Loma Linda, California
Jaime L. Lozada, DMD
Professor and Director
Advanced Education Program in Implant Dentistry
Loma Linda University School of Dentistry
Loma Linda, California
Aina Mesquida, DDS
Resident
Advanced Education Program in Implant Dentistry
Loma Linda University School of Dentistry
Loma Linda, California
Juan Mesquida, DDS
Assistant Professor
Advanced Education Program in Implant Dentistry
Loma Linda University School of Dentistry
Loma Linda, California
Steven M. Morgano, DMD
Professor of Restorative Sciences and Biomaterials
Director
Division of Postdoctoral Prosthodontics
Boston University Henry M. Goldman School of Dental Medicine
Boston, Massachusetts
C. John Munce, DDS
Assistant Professor of Endodontics
Loma Linda University School of Dentistry
Loma Linda, California
Assistant Professor of Endodontics
University of Southern California Ostrow School of Dentistry
Los Angeles, California
W. Patrick Naylor, DDS, MPH, MS
Associate Dean
Advanced Dental Education
Professor of Restorative Dentistry
Loma Linda University School of Dentistry
Loma Linda, California
Faysal G. Succaria, DDS, MSD
Chair and Assistant Professor
Department of Prosthodontics
Boston University Institute for Dental Research and Education
Dubai, United Arab Emirates
Mitsuhiro Tsukiboshi, DDS, PhD
Chairman
Tsukiboshi Dental Clinic
Amagun, Aichi
Japan
Impact of Outcomes Data on Diagnosis and Treatment Planning
The purpose of diagnosis and treatment planning is to devise the longest-lasting and most cost-effective treatment that not only addresses patients’ chief complaints but meets or exceeds their expectations. Treatment recommendations are then based on practitioners’ individual knowledge, and their individual professional experiences serve as expanded frames of reference.
Such an approach to diagnosis and treatment planning often proves successful because data from clinical or laboratory research frequently can point to one approach as “the best treatment” or a “best practice.” That said, other aspects in the clinical decision-making process can be drawn from the dental literature to render “evidence-based” recommended treatment modalities. When available, published reports based on randomized controlled trials are considered to provide the highest level of evidential rigor,1 allowing their results and conclusions to guide clinical treatment decision making. Unfortunately, studies with this level of science are not only complex but also costly, and they are not always available for many aspects of dentistry. Yet outcomes derived from longer-term clinical studies, such as those of 5 years’ or more duration and completed by different investigators, do provide another rich resource to guide clinical decision making. Even the results of peer-reviewed laboratory studies offer valuable information such as potential clinical trends when actual clinical findings are not otherwise available.
Therefore, it is recommended that outcomes data (the results of various scientific investigations) be used whenever possible so clinical diagnosis and treatment planning are evidence-based processes. This recommendation certainly holds true in the management of teeth that have received root canal treatment.
This chapter is intended to present reviews of published