Binrayes Abdulaziz, AlGhazzi Abdullatif A, Alotaibi Saud M
Dentistry, Vision College, Riyadh, SAU.
Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh, SAU.
Cureus. 2024 Nov 25;16(11):e74394. doi: 10.7759/cureus.74394. eCollection 2024 Nov.
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.
牙髓治疗后的磨牙修复仍然具有挑战性。磨牙在牙髓治疗后会失去其机械性能。由于牙髓和周围牙本质组织被去除,它们实际上变得易碎。一种称为牙髓冠的一体式修复体可能是对牙冠大面积损坏的磨牙进行冠修复的可行替代方案,而这种大面积损坏给牙髓治疗后的牙齿带来了困难。本病例报告阐述了使用牙髓冠成功修复一名年轻患者中一颗大面积受损磨牙的情况。采用该技术的决定是基于患者的年龄、保留天然牙体结构的意愿以及传统桩核修复的局限性。由二硅酸锂玻璃制成的牙髓冠具有诸如牙体预备量少、修复过程简化以及出色的美学和功能效果等优点。仍需要进行长期研究,但这个特殊病例进一步证明了牙髓冠作为一种有益的修复替代方案的合理性,特别是在更传统的方法可能会损害牙齿长期健康的情况下。