Monoblocks in Root Canals: A Hypothetical or a Tangible Goal

Abstract 

The term monoblock has become familiar in the endodontic literature with recent interest in the application of dentin adhesive technology to endodontics. Endodontic monoblocks have generated controversial discussions among academicians and clinicians as to whether they are able to improve the quality of seal in root fillings and to strengthen roots. This review attempts to provide a broader meaning to the term monoblock and to see how this definition may be applied to the materials that have been used in the past and present for rehabilitation of the root canal space. The potential of currently available bondable materials to achieve mechanically homogeneous units with root dentin is then discussed in relation to the classical concept in which the term monoblock was first employed in restorative dentistry and subsequently in endodontics.

Key Words: Bonding, mechanically homogeneous unit, modulus of elasticity, monoblock, post space, root canal, primary, secondary, tertiary