Metal Endocrown – Novel Restorative option for Mutilated teeth; A Case Report

Abstract

Extensively damaged endodontically treated molars pose a constant challenge for the practitioner. Although the classical post and core restoration is widely used in dentistry, its invasiveness has been criticized worldwide. Minimally invasive crown preparation preserving the maximum amount of tooth structure is considered to be the main objective for restoring teeth. Bindl and Mormann described the concept of endocrown in 1999 to limit the use of root anchorages. This case report illustrates this restorative option for functional rehabilitation of a devitalized mandibular molar, presenting with a small amount of remaining coronal tooth structure.

Construction of metal endocrown for a short clinical second molar crown

“…Additionally, this results in a less traumatic procedure, preserving the marginal periodontium and facilitating impression procedures (Figure 4). 15 Retraction cords were placed, and the cavity was etched with Ultra-Etch® (Ultradent Products Inc., South Jordan, UT, USA). Single Bond Universal Adhesive (3M ESPE, St. Paul, MN, USA) was applied before the flowable composite (Filtek™ Z350 XT, Shade A3, 3M ESPE, St. Paul, MN, USA) was placed on the floor of the pulp chamber.…”

“…Additionally, this results in a less traumatic procedure, preserving the marginal periodontium and facilitating impression procedures (Figure 4 ). 15 …”

“…14 The technique was also utilized by Mittal et al in their case report. 15 This case report describes the use of a metal endocrown as a novel technique in a severely limited interocclusal space and crown lengthening contraindicated.…”