Akademik Veri Yönetim Sistemi
29th Congress of Balkan Stomatological Society, Belgrade, Sırbistan, 24 - 26 Nisan 2025, ss.236, (Özet Bildiri)
Objectives: This case report presents endocrown restoration as a minimally invasive alternative for
molars with significant coronal damage following endodontic treatment. The goal was to restore
both function and aesthetics while minimizing intervention and preserving tooth structure.
Case Report: A 16-year-old female patient presented with severe coronal damage and impaired
masticatory function in tooth #37. Clinical and radiographic assessments confirmed adequate
endodontic therapy. The patient exhibited good oral hygiene and stable occlusion. After removal of
the existing restoration, and considering the remaining tooth structure, wall thickness, and patient
age, an endocrown restoration was recommended. A monolithic zirconia endocrown was selected
due to its mechanical strength and aesthetic properties.
The tooth preparation followed the biomechanical requirements for endocrown restorations,
including adequate occlusal reduction, access to the root canal, and preservation of dentinal walls.
Digital impressions were obtained using an intraoral scanner, and the restoration was designed using
CAD/CAM technology. A provisional PMMA restoration was placed to verify occlusal fit, and the final
zirconia endocrown was cemented after necessary adjustments.
Conclusion: Endocrown restoration offers a conservative and effective solution for endodontically
treated molars with significant coronal damage. It restores function and aesthetics, preserves tooth
structure, and reduces chairside time and patient visits. This approach aligns with minimally invasive
dentistry principles and demonstrates successful biointegration and long-term durability.
Keywords: CAD-CAM, Minimally invasive dentistry, Severely damaged tooth, Endodontically treated
teeth, Endocrown