The possibility of application of endocrowns in prosthetic treatment

Abstract

After root canal treatment, teeth are weakened and more prone to failure. Prosthetic reconstruction of these teeth should strengthen the remaining structure and ensure the long-term effect of the treatment. An endocrown is a monolithic restoration, which use adhesion and mechanical retention. Most often, it is used during the reconstruction of the non-vital molars. It is debatable whether the premolars due to its structure should be rebuilt without the use of post. An endocrown is also used in reconstruction of teeth with low crowns and with short, obliterated root canals. The main advantages of it are a simple procedure, shorter treatment protocol compared to the classic reconstruction, lower costs, satisfactory aesthetics, reduction of stress, minimal invasive preparation or a smaller number of complications. Most frequently mentioned drawbacks are the possibility of fracture of the tooth and debonding of reconstruction. Most commonly used materials in performing endocrowns are composite and glass ceramics. According to the advantages and clinical trials, endocrowns seem to be a good alternative to the classic restorations after endodontic treatment using posts and crowns.