J Korean Acad Pediatr Dent.  2019 Feb;46(1):111-118. 10.5933/JKAPD.2019.46.1.111.

Post-endodontic Restoration on Erupting Permanent First Molars Using Endocrown with a Polyglass Composite Resin: Report of Two Cases

Affiliations
  • 1Department of Pediatric Dentistry, School of Dentistry, Chonnam National University, Korea. jhkim79@jnu.ac.kr nkchoi@jnu.ac.kr

Abstract

Post-endodontic restorations are both important and challenging for clinical success in endodontically treated posterior teeth. Several options have been proposed to restore endodontically treated molars. In pediatric dentistry, restoration using conventional single crowns, especially for partially erupted molars with insufficient retentive tooth structure, has proven to be difficult. However, the endocrown presents a conservative and esthetic restorative alternative to conventional crowns with post-and-core, as it acquires additional retention within the pulp chamber. The tooth preparation consists of a circular, equigingival, butt-joint margin and a central retention cavity in the pulp chamber that helps to construct both the crown and core as a single unit. This case report describes the esthetic and conservative endocrown restorations of erupting permanent first molars with extensive coronal destruction.

Keyword

Endocrown restoration; Post-endodontic restoration; Extensive coronal destruction; Partially erupted molar

MeSH Terms

Crowns
Dental Pulp Cavity
Molar*
Pediatric Dentistry
Tooth
Tooth Preparation
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