How to Restore the Endodontically Treated Tooth Without Posts and Without Full Coronal Crown Coverage
This is a fully detailed description of how to use high density polyethylene fibers in conjunction with a glass rod impregnated composite to restore the interior structure of the endodontically treated tooth. This tooth will then be restored with either a ceramic inlay or onlay, which preserves the maximum amount of healthy and sound natural tooth structure.
Learning Objectives:
- Understand the principles of stress modification with bonded restorations
- Understand how HDHMW fibers can support the stress of mastication
- Learn how to utilize reinforced composite to support the compromised tooth
- Become familiar with the principles of partial coverage restorations
- Learn the different bonding properties of Zirconia and Emax
- Become familiar with the principles of bonding to dentin that has been exposed to the chemicals of endodontic therapy
- To become comfortable with a different paradigm in thinking about the structure of and the integrity of the compromised tooth.

Dr. Randy Shoup
Dr. Randy Shoup is a 1981 graduate of the Indiana University School of Dentistry. He served in the U.S. Public Health Service for 3 years before starting his private practice journey in Indianapolis in 1984. Dr. Shoup has pioneered several technological and procedural innovations to dramatically improve the quality of dentistry for all patients. In 1987, he had the very first intraoral dental camera showing patients' actual pictures of their teeth with amazing clarity. This visual collaborative process empowers patients to make better quality decisions about their dental treatment. He began his career-long dedication to magnification in 1988 by progressing from 3X magnification loupes to 6X magnification loupes, which were the strongest available at the time. This ability to see in stunning detail and precision allowed him to begin grinding significantly less on teeth, thus preserving all the healthy tooth structure possible for his patients. In 1989, Dr. Shoup began to develop dental restorative procedures around the newest cutting-edge technology of using a surgical microscope through which to perform ultra-conservative dentistry. He is a pioneer in crafting the processes for dentists to utilize this quantum leap in their ability to see, enabling dentists to make significantly smaller restorations, thus saving the patients' irreplaceable healthy tooth structure. The microscope technology allows Dr. Shoup to see the patient's tooth at 30X magnification. He is one of the only restorative dentists in the world to use this level of magnification while restoring a tooth. Once a dentist grinds away a patient's tooth structure, it NEVER grows back; it is gone forever. The goal is to make the smallest possible alterations to the tooth, thus preserving the maximum amount of healthy tooth structure. Dr. Shoup was one of the dentists to form the World Congress of Minimally Invasive Dentistry. This group of academics, scientists, and practicing dentists created and refined what we all now know as preventative dentistry and anti-cavity therapy. The WCMID evolved into the Academy of Biomimetic Dentistry and Dr. Shoup was the first member of that group. The ABD develops and promotes ultraconservative dental treatment for dental disease from decay, trauma, acid damage, grinding and clenching, as well as acid reflux and decay prevention. Dr. Shoup lectures across the U.S. and internationally, teaching dentists from around the world how to treat patients NOT using crowns or caps and NOT making huge holes in their teeth. He has also developed methods to restore teeth that the majority of dentists would say could not be restored and would have to be extracted. He also is a world leader in restoring teeth that have had endodontic therapy (a root canal) without having to drill big posts in the tooth and then grinding the tooth down for a crown or cap.
- Courses by Dr. Randy Shoup:
- Thursday1:00 PM-3:59 PM, Course Code: T12, The Most Important Dental Restoration in Your Patients Life: How to Place Dental Pit and Fissure Sealants That NEVER leak, NEVER fall out, NEVER get recurrent decay, and NEVER have to be replaced
- Thursday9:00 AM-11:59 AM, Course Code: T2, How to Restore the Endodontically Treated Tooth Without Posts and Without Full Coronal Crown Coverage