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Case Reports
. 2024 Nov 25;16(11):e74394.
doi: 10.7759/cureus.74394. eCollection 2024 Nov.

Beyond Traditional Restorations: Management With Endocrown in a Late Adolescent

Abdulaziz Binrayes  1   2 , Abdullatif A AlGhazzi  3 , Saud M Alotaibi  3
Affiliations
Case Reports

Beyond Traditional Restorations: Management With Endocrown in a Late Adolescent

Abdulaziz Binrayes et al. Cureus. .

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.

Keywords: adolescence; endocrown; indirect restoration; prosthodontics; restoration.

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Conflict of interest statement

Human subjects: Consent for treatment and open access publication was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. (A) Preoperative periapical radiograph; (B) Preoperative intraoral view with GIC restoration; (C) Preoperative bitewing radiograph.
GIC: glass ionomer cement
Figure 2
Figure 2. (A) Intraoral view after crown preparation and before sealing of orifices with flowable composites; (B) Lithium disilicate endocrown; (C) Crown fitted on master-cast.
Figure 3
Figure 3. (A) Post-cementation intraoral photo; (B) Post-cementation bitewing radiograph.
Figure 4
Figure 4. (A) Two-year follow-up occlusal view; (B) Follow-up palatal view; (C) Follow-up buccal view.
Figure 5
Figure 5. (A) Two-year follow-up periapical radiograph; (B) Two-year follow-up bitewing radiograph.
See this image and copyright information in PMC

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