ABSTRACT
Background: The goal of RCT is to treat pulp necrosis, preserve the function and appearance of the affected tooth. Following RCT, the supporting teeth and tissues in the area must be taken into account while choosing the type of dental repair. To preserve tooth crown structure, an optimal dental repair must safeguard the missing occlusal and cusp surfaces. Both direct composite resin and indirect restoration can be used to restore posterior teeth that have undergone endodontic treatment; with benefits and drawbacks. Direct composite resin is a less expensive alternative that can be created in a single appointment. Objectives: To understand the advantages and disadvantages of endodontically treated posterior teeth using bulk-fill composite resin, selective etch technique, and filling longevity were considered. Case report: A 33-year-old male complained about his first premolar of the upper right jaw which often impacted with food due to cavities. Throbbing pain persisted in the month prior to the examination. Radiographic revealed radiolucency distal to the chamber. Case management: Endodontic access cavity under rubber dam was done using a crown down approach, a rotary instrument, 5.25% sodium hypochlorite, 17% EDTA, and 2% chlorhexidine gluconate. Both canals had a working length of 21mm with single cone obturation and a resin-based sealant. The final restoration was composite resin. Conclusion: Direct composite resin as a restoration for post-RCT as time management. There's no discernible difference in the likelihood of tooth loss between posterior teeth repaired with direct composite resin and indirect restorations after RCT.
