Endocrown Restorations

Year 2023, Volume: 5 Issue: 2, 126 - 132, 28.08.2023

Ömer Faruk Turanoğlu , Seda Turanoğlu , Esra Talay Çevlik

Abstract

Restoration of endodontically treated teeth in severely damaged coronal tissue is a clinical challenge. The traditional treatment approach
is a crown restorations applied on a core structure supported by the root canal post for these teeth. However, the difficulties encountered
in preparing the post space have led to the development of alternative treatment options. Endocrown restorations are monoblock restorations
that combines the core structure with the crown restoration, providing macro and micromechanical retantion. Endocrown restorations
are applied to cavities prepared by considering caries and material loss. It is indicated for the restoration of teeth with limited
interocclusal distance, insufficient clinical crown and ferrule length. Limitations on the use of intraradicular-posts, such as short or curved
roots, calcified or small root canals, and fracture instruments, may be overcome with endocrowns. Due to endocrown restorations, root
dentin contamination is prevented, and possible complications are prevented since no preparation is made on the root dentin. In addition,
supragingival finish of the restoration provides many advantages. The aim of this review was to define endocrown restorations and report
current studies.

Keywords

Endo-crown restorations, Endodontic treatment, Indirect restorations

Endokuron Restorasyonlar

Abstract

Koronal dokuları aşırı derecede hasar görmüş dişlerde, endodontik tedavi uygulanmış dişlerin restorasyonu klinik bir zorluktur. Geleneksel tedavi yaklaşımı bu dişler için kök kanal postundan destek alan bir kor yapı üzerine uygulanan kuron restorasyonlardır. Ancak post boşluğu hazırlamada karşılaşılan zorluklar alternatif tedavi seçeneklerinin geliştirilmesine neden olmuştur. Endokuron restorasyonlar; kor yapıyı kuron restorasyonla bir araya getiren makro ve mikromekanik tutuculuğa sahip monoblok yapıda restorasyonlardır. Endokuron restorasyonlar, çürük ve madde kaybı dikkate alınarak tasarlanan kavitelere uygulanır. Sınırlı interoklüzal mesafe, yetersiz klinik kron ve yüksük uzunluğu olan dişlerin restorasyonu için endikedir. Endokuronlar, kısa veya kavisli kökler, kalsifiye veya dar kök kanalları, kök kanalında kırık alet varlığı gibi intraradiküler postların kullanımına ilişkin sınırlamalara çözüm olabilir. Endokron restorasyonlar sayesinde kök dentininde preperasyon yapılmayacağından kök dentinin kontaminasyonu önlenmiş olur ayrıca oluşabilecek komplikasyonların da önüne geçilmiş olur. Ayrıca restorasyonun supragingival bitirilmesi de birçok avantajı beraberinde getirmektedir. Bu derlemede endokuron restorasyonlar tanıtılmış endokuron restorasyonları inceleyen güncel çalışmaların bildirilmesi amaçlanmıştır.

Keywords

Endodontik tedavi, Endokuron restorasyonlar, İndirekt restorasyonlar

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