Beyond Traditional Restorations: Management With Endocrown in a Late Adolescent

Endodontically treated molar rehabilitation is still challenging. Molars lose their mechanical properties after endodontic therapy. As a result of the pulp and surrounding dentin tissues being removed, they actually became brittle. A single one-piece restoration called an endodontic crown might be a viable alternative for crown restoration on molars with huge coronal damage presenting difficulties for endodontic treated teeth. This case report explains the successful restoration of an extensively damaged molar in a young individual using an endocrown. The decision to use this technique was guided by the patient's age, the desire to maintain natural tooth structure, and the restrictions of traditional post-and-core restorations. The endocrown, fabricated from lithium disilicate glass, offered advantages such as minimal tooth preparation, a simplified restoration process, and extraordinary esthetic and functional outcomes. Long-term research is still required, but this particular case strengthens the argument for endocrowns as a beneficial restorative alternative, especially when more conventional methods could jeopardize the tooth's long-term health.

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Publication Details

Journal
Cureus
Published
2024-11-25
DOI
https://doi.org/10.7759/cureus.74394
Primary Topic
Dental materials and restorations
Type
article
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article

Beyond Traditional Restorations: Management With Endocrown in a Late Adolescent

Abdulaziz Binrayes, Saud M Alotaibi, Abdullatif A. AlGhazzi
Cureus
Dental materials and restorations
article

Beyond Traditional Restorations: Management With Endocrown in a Late Adolescent

Abdulaziz Binrayes, Saud M Alotaibi, Abdullatif A. AlGhazzi
article en

Abstract

Endodontically treated molar rehabilitation is still challenging. Molars lose their mechanical properties after endodontic therapy. As a result of the pulp and surrounding dentin tissues being removed, they actually became brittle. A single one-piece restoration called an endodontic crown might be a viable alternative for crown restoration on molars with huge coronal damage presenting difficulties for endodontic treated teeth. This case report explains the successful restoration of an extensively damaged molar in a young individual using an endocrown. The decision to use this technique was guided by the patient's age, the desire to maintain natural tooth structure, and the restrictions of traditional post-and-core restorations. The endocrown, fabricated from lithium disilicate glass, offered advantages such as minimal tooth preparation, a simplified restoration process, and extraordinary esthetic and functional outcomes. Long-term research is still required, but this particular case strengthens the argument for endocrowns as a beneficial restorative alternative, especially when more conventional methods could jeopardize the tooth's long-term health.

CureusVol. 16(11)
King Saud University (SA), Sion College (GB)
Sustainable cities and communities
Openalex Percentile: Top 75%
Dental materials and restorations
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