Endocrown: An Alternative Approach for Restoring Endodontically Treated Molars with Large Coronal Destruction

Overview

Journal Case Rep Dent

Publisher Wiley

Specialty Dentistry

Date 2018 Sep 20

PMID 30228915

Citations 19

Authors

Houda Dogui

Feriel Abdelmalek

Adel Amor

Nabiha Douki

Affiliations

Soon will be listed here.

Abstract

Rehabilitation of endodontically treated molar still remains a challenge. After endodontic treatment, molars lost their mechanical characteristics. In fact, they became fragile and that is in relation with the removal of pulp and surrounding dentin tissues. Endocrown which is a single partial restoration could be considered as a good alternative for restoring molars having large coronal destruction and presenting endodontic treatment difficulties. Through this work, we discuss the indication and use of endocrown to replace single crowns with intraradicular retention and to present a clinical case report of an endocrown-type restoration, fabricated from lithium disilicate ceramic (IPS e.Max CAD) in a mandibular first molar with extensive coronal destruction.

Citing Articles

Fracture resistance and mode of failure of modified Polyether-ether-ketone versus lithium disilicate endocrowns.

Kharboush M, Othman H, Aldamaty M, Alameldin A BMC Oral Health. 2025; 25(1):40.

PMID: 39773219 PMC: 11707867. DOI: 10.1186/s12903-024-05232-3.

Endocrown: A Minimally Invasive Alternative to Conventional Fixed Prosthesis.

Kirthiga M, Thomas G, Jose S, Shyam A, M A Cureus. 2024; 16(11):e74514.

PMID: 39726497 PMC: 11671110. DOI: 10.7759/cureus.74514.

Chinese dentists' restorative preferences and choices for endodontically treated teeth: a representative survey.

Li W, Zheng Z, Zeng Y, Zhou Z, Xiao P, Zhong X BMC Oral Health. 2024; 24(1):1489.

PMID: 39696168 PMC: 11658075. DOI: 10.1186/s12903-024-05217-2.

Beyond Traditional Restorations: Management With Endocrown in a Late Adolescent.

Binrayes A, AlGhazzi A, Alotaibi S Cureus. 2024; 16(11):e74394.

PMID: 39677252 PMC: 11646561. DOI: 10.7759/cureus.74394.

Knowledge and Practice of Endocrown Restorations Among Dental Students and Dentists in Sirte, Libya.

Abu Sittah K, Fattouh M, El-Kwatehy W, Berhaim N, Kenawi L Cureus. 2024; 16(8):e66211.

PMID: 39233956 PMC: 11374357. DOI: 10.7759/cureus.66211.

References

Bindl A, Mormann W . Clinical evaluation of adhesively placed Cerec endo-crowns after 2 years--preliminary results. J Adhes Dent. 2001; 1(3):255-65. View

Tribst J, Dal Piva A, Madruga C, Valera M, Borges A, Bresciani E . Endocrown restorations: Influence of dental remnant and restorative material on stress distribution. Dent Mater. 2018; 34(10):1466-1473. DOI: 10.1016/j.dental.2018.06.012. View

Ploumaki A, Bilkhair A, Tuna T, Stampf S, Strub J . Success rates of prosthetic restorations on endodontically treated teeth; a systematic review after 6 years. J Oral Rehabil. 2013; 40(8):618-30. DOI: 10.1111/joor.12058. View

Biacchi G, Mello B, Basting R . The endocrown: an alternative approach for restoring extensively damaged molars. J Esthet Restor Dent. 2013; 25(6):383-90. DOI: 10.1111/jerd.12065. View

Asmussen E, Peutzfeldt A, Sahafi A . Finite element analysis of stresses in endodontically treated, dowel-restored teeth. J Prosthet Dent. 2005; 94(4):321-9. DOI: 10.1016/j.prosdent.2005.07.003. View

Fernandes A, Dessai G . Factors affecting the fracture resistance of post-core reconstructed teeth: a review. Int J Prosthodont. 2001; 14(4):355-63. View

Zarone F, Sorrentino R, Apicella D, Valentino B, Ferrari M, Aversa R . Evaluation of the biomechanical behavior of maxillary central incisors restored by means of endocrowns compared to a natural tooth: a 3D static linear finite elements analysis. Dent Mater. 2006; 22(11):1035-44. DOI: 10.1016/j.dental.2005.11.034. View

Skalskyi V, Makeev V, Stankevych O, Pavlychko R . Features of fracture of prosthetic tooth-endocrown constructions by means of acoustic emission analysis. Dent Mater. 2018; 34(3):e46-e55. DOI: 10.1016/j.dental.2018.01.023. View

Gresnigt M, Ozcan M, van den Houten M, Schipper L, Cune M . Fracture strength, failure type and Weibull characteristics of lithium disilicate and multiphase resin composite endocrowns under axial and lateral forces. Dent Mater. 2016; 32(5):607-14. DOI: 10.1016/j.dental.2016.01.004. View

10.

Fages M, Bennasar B . The endocrown: a different type of all-ceramic reconstruction for molars. J Can Dent Assoc. 2013; 79:d140. View

11.

Dartora N, de Conto Ferreira M, Moris I, Brazao E, Spazin A, Sousa-Neto M . Effect of Intracoronal Depth of Teeth Restored with Endocrowns on Fracture Resistance: In Vitro and 3-dimensional Finite Element Analysis. J Endod. 2018; 44(7):1179-1185. DOI: 10.1016/j.joen.2018.04.008. View

12.

Rocca G, Daher R, Saratti C, Sedlacek R, Suchy T, Feilzer A . Restoration of severely damaged endodontically treated premolars: The influence of the endo-core length on marginal integrity and fatigue resistance of lithium disilicate CAD-CAM ceramic endocrowns. J Dent. 2017; 68:41-50. DOI: 10.1016/j.jdent.2017.10.011. View

13.

Stern N, Hirshfeld Z . Principles of preparing endodontically treated teeth for dowel and core restorations. J Prosthet Dent. 1973; 30(2):162-5. DOI: 10.1016/0022-3913(73)90051-6. View

14.

Dejak B, Mlotkowski A . 3D-Finite element analysis of molars restored with endocrowns and posts during masticatory simulation. Dent Mater. 2013; 29(12):e309-17. DOI: 10.1016/j.dental.2013.09.014. View

15.

Carlos R, Nainan M, Pradhan S, Sharma R, Benjamin S, Rose R . Restoration of endodontically treated molars using all ceramic endocrowns. Case Rep Dent. 2014; 2013:210763. PMC: 3881385. DOI: 10.1155/2013/210763. View

16.

da Cunha L, Mondelli J, Auersvald C, Gonzaga C, Mondelli R, Correr G . Endocrown with Leucite-Reinforced Ceramic: Case of Restoration of Endodontically Treated Teeth. Case Rep Dent. 2015; 2015:750313. PMC: 4628693. DOI: 10.1155/2015/750313. View

17.

Taha D, Spintzyk S, Schille C, Sabet A, Wahsh M, Salah T . Fracture resistance and failure modes of polymer infiltrated ceramic endocrown restorations with variations in margin design and occlusal thickness. J Prosthodont Res. 2017; 62(3):293-297. DOI: 10.1016/j.jpor.2017.11.003. View

18.

Belleflamme M, Geerts S, Louwette M, Grenade C, Vanheusden A, Mainjot A . No post-no core approach to restore severely damaged posterior teeth: An up to 10-year retrospective study of documented endocrown cases. J Dent. 2017; 63:1-7. DOI: 10.1016/j.jdent.2017.04.009. View

19.

Lin C, Chang Y, Chang C, Pai C, Huang S . Finite element and Weibull analyses to estimate failure risks in the ceramic endocrown and classical crown for endodontically treated maxillary premolar. Eur J Oral Sci. 2010; 118(1):87-93. DOI: 10.1111/j.1600-0722.2009.00704.x. View

20.

Gohring T, Peters O . Restoration of endodontically treated teeth without posts. Am J Dent. 2003; 16(5):313-7. View