I. Introduction: Why This Matters More Than Ever
- The historic failure model of endodontically treated teeth
- Common reasons post-RCT restorations fail (fracture ≠ endo failure)
- Shifting the mindset: from “reinforce” to preserve and mimic nature
- Defining biomimetic dentistry in the endodontic context
II. Understanding Tooth Biomechanics After Root Canal Therapy
- Changes in dentin hydration and structural behavior
- Stress distribution in intact vs endodontically treated teeth
- The concept of structural integrity over bulk retention
- Why ferrule alone is not the whole story
III. Access Design & Dentin Conservation (Endo–Restorative Continuum)
- Strategic access design: balancing disinfection and conservation
- The role of microscopes and CBCT in minimizing unnecessary dentin removal
- Pericervical dentin: why it’s the “load-bearing zone”
- Clinical examples of conservative vs traditional access designs
IV. Adhesion: The Foundation of Biomimetic Restoration
- Bonding to endodontically treated dentin—what’s different?
- Immediate dentin sealing (IDS): indications and technique
- Current evidence on adhesive systems for deep margin elevation
- Managing polymerization stress and C-factor challenges
V. Core Build-Ups & Material Selection
- Composite selection: modulus of elasticity and stress absorption
- Bulk-fill vs incremental layering in deep restorations
- When (and when not) to use fiber posts
- Post alternatives and post-less biomimetic strategies
VIII. Case Selection & Clinical Decision Trees
- Anterior vs posterior considerations
- Restoring cracked teeth after endodontic therapy
- Managing deep margins and subgingival defects
- Step-by-step case examples with outcomes
IX. Long-Term Success: What the Research Actually Shows
- Survival vs success rates—important distinctions
- What studies tell us about fracture resistance and failure modes
- Biomimetic restorations vs traditional post-and-core approaches
- Key takeaways from recent literature
X. Clinical Takeaways & Practical Pearls
- What to change Monday morning in your practice
- Red flags to avoid in post-RCT restorations
- Communication tips between endodontist and restorative dentist
- Final thoughts on longevity, predictability, and patient outcomes
Learning Objectives (CE-Ready)
By the end of this webinar, participants will be able to:
- Describe the biomechanical changes that occur in teeth following root canal therapy and how these influence restorative decision-making.
- Apply biomimetic principles to the restoration of endodontically treated teeth to reduce fracture risk and improve longevity.
- Identify access and restorative strategies that preserve critical dentin and support long-term tooth survival.
- Select appropriate adhesive systems and restorative materials based on current research and biomechanical principles.
- Evaluate indications for posts, partial-coverage restorations, and full-coverage crowns using an evidence-based framework.
- Implement practical, clinically relevant techniques that enhance outcomes in everyday restorative practice.
Dr. Mark A. Limosani, DMD, MS, FRCD(C)
Dr. Mark A. Limosani is a board-certified endodontist, practice owner, and recognized leader in organized dentistry, with a strong focus on advancing specialty education, collaboration, and strategic growth within the profession. He is actively involved in leadership at the state and regional levels, contributing to initiatives that strengthen professional standards, continuing education, and member engagement.
Dr. Limosani received his dental degree and specialty training in endodontics from the Université de Montréal, where he developed a strong foundation in evidence-based care and academic rigor. He later earned his Master of Science in Dentistry from Nova Southeastern University, further refining his clinical expertise and leadership perspective within the U.S. healthcare and dental landscape.
As the owner of a multi-location specialty endodontic practice in South Florida, Dr. Limosani brings a real-world, systems-based approach to leadership, integrating advanced technology, data-driven decision-making, and team development into daily operations. His clinical interests include minimally invasive endodontics, CBCT-guided diagnosis, dental trauma, irrigation and disinfection, sedation workflows, and interdisciplinary collaboration.
Dr. Limosani is a frequent lecturer and course director, presenting nationally and regionally on both clinical and practice leadership topics. He is particularly passionate about mentorship, cultivating future leaders in dentistry, and aligning innovation with ethical, patient-centered care. His leadership philosophy emphasizes transparency, collaboration, and long-term value creation for both practitioners and patients.
Dr. Limosani lives in South Florida with his wife and three children and remains committed to service, education, and the continued advancement of the endodontic specialty.