DOI: 10.36347/SJMCR.2019.v07i12.001

Pages: 726-731

The restoration process of damaged posterior teeth which had suffered from a perforation of the pulp chamber floor can be a puzzling and frustrating treatment. It requires an extensive knowledge about the restorative materials and techniques. Several options are currently available to address the challenges of restoring posterior teeth. Besides restoring function, dental practionners need also to consider esthetics and morphology for a successful treatment. Considering the new esthetic approach, we had to resort to the use of endocrowns. The present case report is describing a step by step protocol of the preparation process and the bonding of an endocrown, which is an esthetic and conservative option to restore a compromised first upper molar with a pulpal floor perforation. A one year follow up of the case has shown a successful outcome. However, the success of a clinical procedure involves establishing the entire treatment protocol appropriately, ensuring that each step is done adequately with respect to the recommendations.