Case Report
Volume 19 Issue 3 - 2020
Mouth Rehabilitation Using Ceramic Endocrown with Deep Marginal Elevation Technique
Areej A Dirham and Ehab N Alshouibi*
Faculty of Dentistry, King AbdullAziz University, Jeddah, Saudi Arabia
*Corresponding Author: Ehab N Alshouibi, Assistant Professor in Dental Public Health, Consultant in Restorative and Esthetic Entistry, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
Received: January 27, 2020; Published: February 21, 2020




Abstract

Aim: This article presents an advanced therapeutic approach to rehabilitate the mouth and to restore the endodontically-treated teeth(ETT) based entirely on adhesive dentistry.

Background: The restoration of (ETT) has been widely and controversially discussed in the dental literature, most of which recommends cuspal coverage of ETT to protect against potential tooth fracture. The main goal of conservative dentistry in managing ETT is to achieve minimally invasive preparation with maximal cuspal coverage. The “endocrown” follows this rationale. In addition, proximal caries with deep cervical margins are particularly complex to manage clinically. Moreover, there are various clinical approaches to such challenges, such as placing a base of composite resin to coronally displace proximal margins underneath indirect bonded restorations restorations as known as deep margin elevation(DME) or coronal margin relocation.

Case Description: This study is a clinical case report of a excellent clinical result was achieved by restoring esthetics and function of the ETT using ceramic endocrowns. In combination with the clinical procedure presented here, some of the ETT with deep cervical margins were managed by applying direct composite resin restoration using the DME technique.

Conclusion and Clinical Significance: The ideal treatment of ETT has been widely and controversially discussed in the literature. Based on current evidence, endocrowns can be considered a reliable treatment option for moderately mutilated ETT. The achieved adhesive monoblock system reduces the need for macro-retentive geometry and provides an efficient outcome and better esthetics.

Furthermore, the DME technique represents another useful treatment approach for patients with financial restrictions and those with higher risk of negative outcomes involving more invasive surgical procedures. Thus, it could be used in clinical situations with deep subgingival cervical margin where isolation with a rubber dam remains possible and adequate periodontal biological width is available.

Keywords: Case Report; Endocrown; E-max Ceramic; Deep Marginal Elevation; Coronal Margin Relocation; Coronal Rehabilitation; Endodontically Treated Teeth; Adhesive Dentistry

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Citation: Areej A Dirham and Ehab N Alshouibi. “Mouth Rehabilitation Using Ceramic Endocrown with Deep Marginal Elevation Technique”. EC Dental Science 19.3 (2020): 01-12.

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