The ultimate goal of any operative procedure is to restore the tooth to its original form and function within the arch as well as to reestablish esthetics wherever applicable. The primary objective of the endodontic therapy is the elimination of bacteria and their by-products, pulpal remnants, and debris from the root canal system. To achieve this goal, the biomechanical aspects of the tooth structure are often compromised, leading to the questionable prognosis of the restorative factor of endodontically treated teeth (ETT). The current technological advancements in the field of endodontics that preserves more natural tooth structure and adhesive dentistry that enables better restoration of the lost tooth structure, when used in the optimal way, can pave a path for the right balance between the endodontic and restorative components of teeth. This narrative review highlights the ways in which the right balance can be achieved between the two.
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