Rehabilitating extensively mutilated posterior teeth after endodontic treatment still remains to be a challenge. Several treatment modalities has been established to restore the function of grossly mutilated endodontically treated teeth. Among such restorations, endocrowns are indirect monobloc crowns that engage the core space for retention. They are more conservative alternative than the use of intraradicular post as a means to increase the retention of crown to the core. In this case report, two cases are discussed in which single posterior endocrowns were fabricated after the endodontic treatment in the teeth with compromised tooth structure. One case with CAD manufacturing of lithium disilicate (IPS e.max CAD) molar endocrown and another case with the fabrication of metal ceramic molar endocrown.

Traditionally, calcium hydroxide was the material of choice for apexification technique. However, the disadvantages of this technique includes delayed treatment, improper apical seal and increased risk of root fractures. Research for improved biocompatible materials resulted in evolving of higher characteristic materials such as Biodentine, a tricalcium silicate cement that possesses good handling and bioactive properties. This report describes the case of a 13-year-old boy who had traumatised his upper right central incisor which stunted the growth of root leaving it with open apex. The treatment of apexification with Biodentine and PRF as matrix was done. Prosthetic rehabilitation of endocrown fabricated with Lithium disilicate ceramic was delivered. Follow-ups were performed at 3, 6 and 12 month. The promising clinical and radiographic outcome in this case demonstrated that Biodentine may be an successful alternative to the conventional apexification materials and endocrown can be a conservative alternative to post and cores in such cases.

No abstract

No abstract