Restorative treatments often entail significant tooth tissue removal, the use of chemical agents and multiple interventions, potentially causing chronic trauma to the pulp. These factors may impact on the health of the pulp and, consequently, lead to a need for root canal treatment. This article examines common restorative procedures and their likely pulpal effects and considers measures to help reduce the risk of pulpal complications. Keywords: dentine-pulp complex, dentine sensitivity, pulp, trauma