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Scholars Journal of Medical Case Reports | Volume-11 | Issue-05
Conservative Management of Extensively Damaged Endodontically Treated Tooth using Ceramic Endocrown and Deep Margin Elevation: A Clinical Report
Bouthaina Mahjoubi, Sarra Nasri, Zohra Nouira, Belhassen Harzallah, Mounir Chérif
Published: May 13, 2023 | 143 184
DOI: 10.36347/sjmcr.2023.v11i05.040
Pages: 908-915
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Abstract
Introduction: The restoration of endodontically treated molar continued to be a challenging issue. After endodontic treatment, generally the tooth is exposed to a higher risk of fracture. Endocrown as a minimal invasive restoration could be a wise alternative for restoring molars with large coronal destruction and limited interocclusal space. Observation: Through this work, we present a clinical case report of an endocrown-type restoration, fabricated from lithium disilicate ceramic (IPS e.Max CAD) in a maxillary first molar with extensive coronal destruction associated to cervical margin relocation. Discussion: We discuss the indication and use of endocrown to replace single crowns with intraradicular retention. The supragingival margins of the endocrown preparation simplify rubber dam isolation, and the adhesive procedure that’s why deep marginal elevation in this case was performed.