Evaluación del tratamiento post-endodóntico en molares: Un estudio basado en una encuesta dirigida a odontólogos del Ecuador.

Abstract

Introduction: Endodontically treated teeth present a higher risk of fracture due to the loss of tooth structure. Fixed restorations after treatment are essential to restore function and aesthetics, as well as to protect against bacterial microleakage and promote long-term survival. Currently, inlays, endocrowns, crowns, and fiber-reinforced composite resins are used, with adhesive restorations standing out for their conservative approach. General objective: To evaluate trends in the post-endodontic treatment of molars through a survey of dentists in Ecuador, identifying the factors that influence restorative choice and reported complications. Materials and methods: A quantitative, cross- sectional, and descriptive-observational study was conducted at the Catholic University of Santiago de Guayaquil during the second semester of 2025. The sample included 214 practicing dentists. A validated 12-question survey was administered. Data were analyzed using descriptive statistics with frequencies and percentages. Results: The majority of participants were female (53.2%), with a mean age of 39.5 years. The remaining tooth structure was the primary decision factor (43%). The most frequently used restorations were inlays (32.2%), endocrowns (18.2%), and composite resin (18.2%). 37.4% reported not using any restorations; fiber-reinforced restorations were the most commonly used (48.6%). Vertical (31.8%) and coronal (28%) root fractures were the most frequent complications. Conclusions: A preference for conservative adhesive techniques and limited use of posts was evident. Structural fractures remain the main clinical challenge in molars restored after endodontic treatment.