Restoration after endodontic treatment with Endocrown

임상가를 위한 특집 3 - Endocrown을 이용한 근관치료 후 수복

  • Park, Jeong-Kil (Department of Conservative Dentistry, School of Dentistry, Pusan National University)
  • 박정길 (부산대학교 치의학전문대학원 치과보존학교실)
  • Received : 2012.06.07
  • Accepted : 2012.06.19
  • Published : 2012.07.01

Abstract

Successful treatment of a badly broken down tooth with pulpal disease depends not only on good endodontic therapy, but also on good prosthetic reconstruction of the tooth after endodontic therapy is completed. The ideal treatment of endodontically treated teeth has been widely and controversially discussed. Endocrown is a restorative option for endodontically treated teeth. Endocrown design incorporates the core and short post into the crown as a single restoration. The preparation of endocrown consists of a circular equigingival butt-joint margin and central retention cavity of the entire pulp chamber instead of employing intraradicular posts. This design significantly increases the surface area of the preparation available for cementation. It is particularly useful in young patient teeth for long-term provisional restoration and in teeth with short clinical crowns. This technique represents a promising and conservative method for the treatment of endodontically treated teeth that require long-term protection and stability. Endocrown can be considered as a feasible alternative to full crowns or composite overlays for the restoration of non vital teeth.

Keywords

References

  1. Helfer AR, Melnick S, Schilder H. Determination of moisture content of vital and pulpless teeth. Oral Surg Oral Med Oral Pathol. 1972 Oct; 34(4):661-70. https://doi.org/10.1016/0030-4220(72)90351-9
  2. Brown DR, Barkmeier WW, Anderson RW. Restoration of endodontically treated posterior teeth with amalgam. J Prosthet Dent. 1979 Jan;41(1):40-4. https://doi.org/10.1016/0022-3913(79)90355-X
  3. Perel ML, Muroff FI. Clinical criteria for posts and cores. J Prosthet Dent. 1972 Oct;28(4):405-11. https://doi.org/10.1016/0022-3913(72)90242-9
  4. Huang TJ, Schilder H, Nathanson D. Effects of moisture content and endodontic treatment on some mechanical properties of human dentin. J Endod. 1992 May;18(5):209-15. https://doi.org/10.1016/S0099-2399(06)81262-8
  5. Howe CA, McKendry DJ. Effect of endodontic access preparation on resistance to crown-root fracture. J Am Dent Assoc. 1990 Dec;121(6):712-5. https://doi.org/10.14219/jada.archive.1990.0280
  6. Bindl A, M?rmann WH. Clinical evaluation of adhesively placed Cerec endo-crowns after 2 years-preliminary results. J Adhes Dent. 1999 Autumn;1(3):255-65.
  7. Assif D, Pilo R, Marshak B. Restoring teeth following crown lengthening procedures. J Prosthet Dent. 1991 Jan;65(1):62-4. https://doi.org/10.1016/0022-3913(91)90049-3
  8. Zarone F, Sorrentino R, Apicella D, Valentino B, Ferrari M, Aversa R, Apicella A. 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 Nov;22(11):1035-44. Epub 2006 Jan 10. https://doi.org/10.1016/j.dental.2005.11.034