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The anatomy of the tooth is restored before the RCT is started. In this case the distal wall of the tooth was restored with composite.
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Root canal treatment.
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The pulp chamber is filled with a glass ionomer or a ceromer restoration to structurally reinforce the tooth.
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Reduce the occlusal surface by approximately 1.5mm. This step can also be done at the beginning of the RCT to get the tooth out of the bite.
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Two grooves are cut from buccal to lingual, one over the mesial cusps and one over the distal cusps.
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Two everStick® Ortho fibres (± 14mm in length) are bonded into the grooves with flowable composite.
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The occlusal aspect of the tooth is restored over the fibres.
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The occlusion is adjusted and the restoration is finished and polished.
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