Decision making and restorative planning for adhesively restoring endodontically treated teeth: An update

Bhalla, Vidhi Kiran; Chockattu, Sherin Jose; Srivastava, Shyambhavi; Prasad, Somdutt

doi:10.4103/sej.sej_155_19

Cited by 2 publications

(7 citation statements)

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“…This loss of structure reduces the fracture resistance, affecting the tooth's long-term survival rate [2,4]. Causes of tooth structure loss can include caries, trauma, access cavities, and canal preparation [2,3,5]. Additionally, endodontically treated teeth have reduced protection against mastication forces due to deterioration in the neurosensory feedback system after the removal of pulpal tissue [2,3].…”

Section: Introductionmentioning

confidence: 99%

“…Additionally, endodontically treated teeth have reduced protection against mastication forces due to deterioration in the neurosensory feedback system after the removal of pulpal tissue [2,3]. This reduced feedback system increases the pressure threshold in the periodontium, leading to functional overload and decreased fracture resistance [5].…”

Section: Introductionmentioning

confidence: 99%

“…The success and longevity of endodontically treated teeth rely on treatment quality and proper coronal restoration to maintain the tooth's function, form, and aesthetics [5,6]. It is recommended to proceed with the final tooth restoration once the root canal treatment meets technical standards and the tooth is symptom-free [6].…”

Section: Introductionmentioning

confidence: 99%

“…It is recommended to proceed with the final tooth restoration once the root canal treatment meets technical standards and the tooth is symptom-free [6]. The best restoration method for endodontically treated teeth has been debated extensively in the literature [5,7]. However, significant advancements have been made in the past 20 years [6], and these advancements primarily emphasize the preservation of tooth structure [6].…”

Section: Introductionmentioning

confidence: 99%

“…In addition, several studies have demonstrated that endocrowns exhibit a lower incidence of catastrophic failures, for example, those that require the extraction of the affected tooth [6,10]. They also provide better stress distribution and increased fracture resistance compared to conventional crowns [1,3,5,[9][10][11].…”

Section: Introductionmentioning

confidence: 99%

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Endocrowns: Indications, Preparation Techniques, and Material Selection

AlDabeeb,

Alakeel,

Al jfshar

et al. 2023

Cureus

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Endodontic treatment is often necessary in the field of dentistry. As the tooth structure is lost during such treatment, the tooth may become weaker and lose some of its mechanical qualities. Endodontically treated posterior teeth require cuspal coverage because of their anatomical features. Endocrowns are regarded as a suitable choice for restoring teeth that have undergone endodontic treatment. These restorations are recommended when there is a substantial loss of tooth structure, restricted interocclusal space, or a short clinical crown. They are also contraindicated in case of severe loss of tooth structure where adhesion is not applicable. Endocrowns require a specific preparation design that is distinct from the conventional crown. They can be manufactured by two methods: heat pressing or computer-aided design/computer-aided manufacturing (CAD/CAM). Moreover, several materials have been used in fabricating endocrown restoration. Lithium disilicate glass-ceramic is the most recommended material as it possesses excellent mechanical properties and esthetic results with the ability to bond to tooth structure. In conclusion, several kinds of literature recommend using them for molars. Further research is needed to evaluate this technique for premolar and anterior teeth.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Endocrowns: Indications, Preparation Techniques, and Material Selection

AlDabeeb,

Alakeel,

Al jfshar

et al. 2023

Cureus

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

Abu Sittah,

Fattouh,

El-Kwatehy

et al. 2024

Cureus

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BackgroundRestoring endodontically treated teeth has long posed a challenge for clinicians. The endocrown (EC) is an innovative and conservative restoration designed for teeth with severely damaged coronal structures. ECs offer performance that is equivalent to or even exceeds that of traditional post-core-crown treatments. PurposeThis web-based cross-sectional survey aimed to evaluate the level of knowledge and practical experience regarding ECs as post-endodontic prostheses among dental students and practitioners in Libya. MethodsA 22-item structured questionnaire was created using Google Forms and distributed to final-year students, interns, faculty at the College of Dentistry at Sirte University, and practicing dentists in Libya. The sample comprised 290 participants. The questionnaire was divided into three sections: the first assessed demographic variables such as gender, education level, country of graduation, and workplace; the second evaluated knowledge of ECs through 11 questions; and the third focused on EC practice, also comprising 11 questions. Statistical analysis was conducted using IBM SPSS Statistics for Windows, Version 21.0 (Released 2012; IBM Corp., Armonk, NY, USA). ResultsA total of 50.7% of participants indicated that EC restorations are suitable for molar teeth, 41.4% noted that a butt joint finish line is used for EC preparation, and 66.9% preferred all-ceramic materials for ECs. Nearly 72.8% reported that computer-aided design/computer-aided manufacturing technology is employed for EC fabrication. Additionally, 61.7% agreed that EC designs offer higher fracture resistance compared to conventional crowns. Despite this, 64.5% of participants had not cemented an EC in their clinic in recent years. Significant differences in knowledge and practice regarding ECs were observed across various factors, including gender, education level, country of graduation, and workplace. ConclusionMost participants demonstrated an acceptable level of knowledge and practical experience with EC restorations. Therefore, incorporating ECs as a major topic in the postgraduate prosthodontics curriculum is recommended.

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Decision making and restorative planning for adhesively restoring endodontically treated teeth: An update

Cited by 2 publications

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Endocrowns: Indications, Preparation Techniques, and Material Selection

Endocrowns: Indications, Preparation Techniques, and Material Selection

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

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