Publisher's Synopsis
The pulped tooth represents a porous organo-mineral complex capable of preservation within the dental arch despite the absence of its pulp. Biological alterations, such as marginal water loss and gradual collagen fiber degradation, minimally impact the structural integrity of the tooth. However, the loss of dental tissue incurred during therapeutic interventions correlates directly with a reduction in its strength, thereby elevating the risk of fracture and compromising the tooth's long-term viability. Consequently, it is imperative within clinical management to adhere to a therapeutic gradient, prioritizing conservative interventions whenever feasible. In instances where a pulped tooth exhibits compromised structural integrity with minimal remaining walls, coronal-radicular reconstruction becomes imperative to uphold coronal stability and establish a bacteria-free environment crucial for sustained endodontic treatment success and prevention of reinfection.
