Restoration of Endodontically treated molars: Lights and shadows of the endocrown approach

The restoration of endodontically treated teeth (ETT) is a subject widely discussed in literature since it was a challenging procedure in dentistry. Non-vital tooth was always considered as a weakened and brittle tooth, thus enhancing the use of full coverage crown associated with a root anchorage. However, since the revolution of adhesives techniques, the advent of the concept of minimally invasive dentistry as a gold standard, aggressive macro-mechanical approaches are no longer essential in the presence of a sufficient bonding surface. This is the major advantage of adhesive restorations. With this approach, root post placement has become the exception to the rule. Thus, minimally invasive preparations, with maximum tissue conservation, should be considered today as a viable alternative for the restoration of ETT. One of this new alternative modality include the endocrown restoration. Such ceramic monolithic is anchored in the pulp chamber, taking benefit the micromechanical retention properties of the pulp-chamber walls and micro-mechanical retention of bonding.

Author(s): Rihab Dakhli

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