%0 Journal Article
%T Restoration of Endodontically Treated Molars Using All Ceramic Endocrowns
%A Roopak Bose Carlos
%A Mohan Thomas Nainan
%A Shamina Pradhan
%A Roshni Sharma
%A Shiny Benjamin
%A Rajani Rose
%J Case Reports in Dentistry
%D 2013
%I Hindawi Publishing Corporation
%R 10.1155/2013/210763
%X Clinical success of endodontically treated posterior teeth is determined by the postendodontic restoration. Several options have been proposed to restore endodontically treated teeth. Endocrowns represent a conservative and esthetic restorative alternative to full coverage crowns. The preparation consists of a circular equigingival butt-joint margin and central retention cavity into the entire pulp chamber constructing both the crown and the core as a single unit. The case reports discussed here are moderately damaged endodontically treated molars restored using all ceramic endocrowns fabricated using two different systems, namely, CAD/CAM and pressed ceramic. 1. Introduction Postendodontic restoration should preserve and protect the existing tooth structure, while restoring satisfactory esthetics, form, and function. The goal is to achieve minimally invasive preparations with maximal tissue conservation for restoring endodontically treated teeth. This will help to mechanically stabilize the tooth-restoration complex and increase surfaces available for adhesion. A number of options are available in every clinical situation. The choice depends on the structural integrity of the tooth, esthetic, and protective requirements [1]. In this perspective, endocrowns can be considered as a feasible alternative to full crowns for restoration of nonvital posterior teeth, especially those with minimal crown height but sufficient tissue available for stable and durable adhesive cementation [2]. The evolution of ceramic technology especially dental CAD/CAM systems have enhanced the options to produce single all ceramic endocrowns with high biocompatibility and optimal mechanical properties [3]. In the present paper two ceramic endocrowns fabricated by different methods are presented as case reports. 2. Case 1 A 32-year-old female patient reported for the filling of her lower 1st molar. On clinical examination tooth number 36 was root canal treated one month back (Figure 1). It was asymptomatic and the occlusogingival height of the remaining crown structure was approximately 4£żmm. The radiographic findings revealed well obturated canals with no periapical changes. Figure 1: Postobturation occlusal view showing the amount of residual tooth structure. A conservative approach of restoring the tooth with an endocrown was decided as the treatment option, as more than half the residual tooth structure was remaining and there were no occlusal wear facets. On additional request by the patient for an advanced and a prompt restoration, CAD/CAM ceramic was chosen. After removal
%U http://www.hindawi.com/journals/crid/2013/210763/