Rehabilitation of Fractured Tooth with Post Endodontic Monoblock Restoration – Richmond Crown: A Series of Two Cases

Abstract Restoring severely compromised endodontically treated teeth presents a significant challenge in restorative dentistry, particularly when minimal coronal tooth structure remains. In such situations, additional support from the root canal is often required to achieve adequate retention and resistance for the final restoration. Although post and core systems are commonly used, they are associated with several drawbacks, including the risk of root or post fracture, post dislodgement, loss of the restorative seal, and possible damage to the surrounding periodontal tissues. These complications are further intensified in patients with deep bite and reduced overjet, where teeth are subjected to increased oblique forces. In such complex clinical conditions, the Richmond crown serves as an effective alternative. This one-piece cast dowel–core–crown restoration eliminates the need for additional space required for a separate crown. It is a customized, castable system that provides improved retention, durability, and functional stability. With the option of porcelain facing for aesthetic enhancement, the Richmond crown offers a reliable and long-term solution. This case series highlights the successful management of fractured teeth with limited inter-occlusal space using Richmond crowns.

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Publication Details

Journal
Zenodo (CERN European Organization for Nuclear Research)
Published
2026-02-28
DOI
https://doi.org/10.5281/zenodo.19086279
Primary Topic
Dental materials and restorations
Type
article
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article

Rehabilitation of Fractured Tooth with Post Endodontic Monoblock Restoration – Richmond Crown: A Series of Two Cases

International Journal of Dental Science and Innovative Research (IJDSIR)
Zenodo (CERN European Organization for Nuclear Research)
Dental materials and restorations
article

Rehabilitation of Fractured Tooth with Post Endodontic Monoblock Restoration – Richmond Crown: A Series of Two Cases

International Journal of Dental Science and Innovative Research (IJDSIR)
article en

Abstract

Abstract Restoring severely compromised endodontically treated teeth presents a significant challenge in restorative dentistry, particularly when minimal coronal tooth structure remains. In such situations, additional support from the root canal is often required to achieve adequate retention and resistance for the final restoration. Although post and core systems are commonly used, they are associated with several drawbacks, including the risk of root or post fracture, post dislodgement, loss of the restorative seal, and possible damage to the surrounding periodontal tissues. These complications are further intensified in patients with deep bite and reduced overjet, where teeth are subjected to increased oblique forces. In such complex clinical conditions, the Richmond crown serves as an effective alternative. This one-piece cast dowel–core–crown restoration eliminates the need for additional space required for a separate crown. It is a customized, castable system that provides improved retention, durability, and functional stability. With the option of porcelain facing for aesthetic enhancement, the Richmond crown offers a reliable and long-term solution. This case series highlights the successful management of fractured teeth with limited inter-occlusal space using Richmond crowns.

Zenodo (CERN European Organization for Nuclear Research)
International Association for Dental Research (US)
Sustainable cities and communities
Openalex Percentile: Top 14%
Dental materials and restorations
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