{"title":"Principles guiding the restoration of the root-filled tooth","authors":"Shanil R. Patel, Callum Youngson, Fadi Jarad","doi":"10.1038/s41415-025-8401-4","DOIUrl":"10.1038/s41415-025-8401-4","url":null,"abstract":"Endodontic treatment is usually required because of significant coronal disease or traumatic tissue loss. The restoration of the subsequently endodontically treated tooth is also complicated by the reduction in its structural strength consequent to accessing the pulp chamber and the removal of radicular dentine during root canal instrumentation, alongside some alteration of dentinal properties during disinfection by chemical agents, prior to obturation. A loss of proprioceptive feedback, which may lead to increased loading, can place further stress on the already very compromised structure. This article considers the principles of restoring endodontically treated teeth: assessing restorability, providing a coronal seal to prevent reinfection, and gaining retention for a core where necessary, to restore aesthetics and function. Consideration is given to the patient and material factors that influence the decision to restore the treated tooth using direct or indirect restorations. Specific attention is given to anterior or posterior teeth and the various materials which may be used in their overall restoration with their associated, probable, longevity.","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"238 7","pages":"508-516"},"PeriodicalIF":2.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41415-025-8401-4.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143818856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Success and failure of endodontic treatment: predictability, complications, challenges and maintenance","authors":"Dipti Mehta, Alexandra Coleman, Maria Lessani","doi":"10.1038/s41415-025-8453-5","DOIUrl":"10.1038/s41415-025-8453-5","url":null,"abstract":"The fundamentals of successful endodontic treatment are an awareness of the aetiology of the disease process and an understanding of factors that affect outcome. This paper aims to outline the prognostic factors found in the endodontic outcome literature to facilitate options appraisal and predictable treatment delivery. We will discuss pre-treatment, treatment and post-treatment factors. In summary, the significance of infection control throughout treatment, provision of an adequate coronal seal and appropriate restoration of the root-filled tooth are highlighted.","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"238 7","pages":"527-535"},"PeriodicalIF":2.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41415-025-8453-5.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143818864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Not sure of the outcome?","authors":"Paul Hellyer","doi":"10.1038/s41415-025-8617-3","DOIUrl":"10.1038/s41415-025-8617-3","url":null,"abstract":"","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"238 7","pages":"565-565"},"PeriodicalIF":2.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41415-025-8617-3.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143818824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
David Edwards, James R. Allison, Jamie Coulter, Justin Durham, Emma V. Beecroft
{"title":"Symptomatic irreversible pulpitis and other orofacial pain: overcoming challenges in diagnosis and management","authors":"David Edwards, James R. Allison, Jamie Coulter, Justin Durham, Emma V. Beecroft","doi":"10.1038/s41415-025-8441-9","DOIUrl":"10.1038/s41415-025-8441-9","url":null,"abstract":"Due to the unique sensory innervation of the teeth and face, orofacial pain can be challenging to diagnose and manage. Odontogenic pain, or ‘toothache'', is the most common orofacial pain condition and encompasses the vast majority of pain which is presented to dental practitioners. While diagnosis is often straightforward, the clinical picture is occasionally unclear or contradictory, and in these situations, the clinician should be able to consider reasons other than the teeth for the patient''s presenting complaint. The primary aim of managing odontogenic pain is to treat the underlying cause, often arising from the dental pulp or periapical tissues; however, several factors can make pre-, intra- and post-operative management of odontogenic pain challenging. This paper will consider key similarities and differences in the clinical presentation of odontogenic pain and other non-odontogenic causes of orofacial pain in order to help practitioners arrive at the correct diagnosis. We discuss evidence-based recommendations for intra- and post-operative management of acute odontogenic pain, and consider the underlying neurophysiological features which make orofacial pain challenging to manage.","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"238 7","pages":"517-526"},"PeriodicalIF":2.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41415-025-8441-9.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143818866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"New digital resource provides the latest clinical guidance on preventing and managing dental caries in children","authors":"","doi":"10.1038/s41415-025-8627-1","DOIUrl":"10.1038/s41415-025-8627-1","url":null,"abstract":"","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"238 7","pages":"432-432"},"PeriodicalIF":2.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41415-025-8627-1.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143818839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}