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Panagiotis Zoidis, Eleonora Bakiri, Gregory Polyzois
A modified polyetheretherketone (PEEK) framework material veneered with indirect light-polymerized composite resin was used as an alternative material for the fabrication of an endocrown restoration for an extensively damaged molar. The elastic modulus of the polyetheretherketone framework (4 GPa) veneered with indirect composite resin could dampen the occlusal forces protecting tooth structures better than ceramic materials. This is important in the restoration of extensively damaged molars with weak roots...
September 28, 2016: Journal of Prosthetic Dentistry
G T Rocca, P Sedlakova, C M Saratti, R Sedlacek, L Gregor, N Rizcalla, A J Feilzer, I Krejci
OBJECTIVE: To evaluate the influence of different types of modifications with resin on fatigue resistance and failure behavior of CAD-CAM resin nano ceramic (RNC) restorations for maxillary first premolars. METHODS: Sixty standardized resin composite root dies received CAD-CAM RNC endocrowns (n=30) and crowns (n=30) (Lava Ultimate, 3M Espe). Restorations were divided into six groups: full anatomic endocrowns (group A) and crowns (group D), buccal resin veneered endocrowns (group B) and crowns (group E) and buccal resin veneered endocrowns (group C) and crowns (group F) with a central groove resin filling...
September 23, 2016: Dental Materials: Official Publication of the Academy of Dental Materials
Mehmet Selim Bilgin, Ali Erdem, Mehmet Tanrıver
OBJECTIVE: The aim of this case report is to describe the treatment of a primary molar with a deep carious lesion by pulpotomy and placement of a ceramic endocrown. CLINICAL CASE: A 7-year-old male patient with profound caries in tooth number 85 was referred to our clinic and underwent a pulpotomy. As the final treatment in tooth restoration, placement of an endocrown was planned, because little more than half of the tooth structure remained. After an additional request from the patient's parents for an advanced and prompt restoration, a computer-aided design/computer-aided manufacturing (CAD/CAM) polymer-infiltrated ceramic network (PICN) block was chosen...
2016: Journal of Clinical Pediatric Dentistry
Guliz Aktas, Hatice Yerlikaya, Kivanc Akca
PURPOSE: To evaluate the effect of different silica-based ceramic materials on the mechanical failure behavior of endocrowns used in the restoration of endodontically treated mandibular molar teeth. MATERIALS AND METHODS: Thirty-six intact mandibular molar teeth extracted because of a loss of periodontal support received root canal treatment. The teeth were prepared with a central cavity to support the endocrowns, replacing the occlusal surface with mesial-lingual-distal walls...
July 28, 2016: Journal of Prosthodontics: Official Journal of the American College of Prosthodontists
Yooseok Shin, Sungho Park, Jeong-Won Park, Kwang-Mahn Kim, Young-Bum Park, Byoung-Duck Roh
STATEMENT OF PROBLEM: The marginal and internal discrepancies of computer-aided design/computer-aided manufacturing (CAD/CAM) endocrowns are unknown. PURPOSE: The purpose of this in vitro study was to evaluate the marginal and internal discrepancies of endocrowns with different cavity depths by measuring them with microcomputed tomography (μCT). MATERIAL AND METHODS: Endocrowns (n=48) of 2 different cavity depths (2 mm and 4 mm) were fabricated in 2 different chairside CAD/CAM systems (CEREC AC and E4D)...
July 23, 2016: Journal of Prosthetic Dentistry
José Augusto Sedrez-Porto, Wellington Luiz de Oliveira da Rosa, Adriana Fernandes da Silva, Eliseu Aldrighi Münchow, Tatiana Pereira-Cenci
OBJECTIVES: A systematic review was conducted to evaluate clinical (survival) and in vitro (fracture strength) studies of endocrown restorations compared to conventional treatments (intraradicular posts, direct composite resin, inlay/onlay). DATA: This report followed the PRISMA Statement. A total of 8 studies were included in this review. SOURCES: Two reviewers performed a literature search up to February 2016 in seven databases: PubMed, Web of Science, Scopus, BBO, SciELO, LILACS and IBECS...
September 2016: Journal of Dentistry
M D Gaintantzopoulou, H M El-Damanhoury
The aim of the study was to evaluate the effect of preparation depth and intraradicular extension on the marginal and internal adaptation of computer-aided design/computer-assisted manufacture (CAD/CAM) endocrown restorations. Standardized preparations were made in resin endodontic tooth models (Nissin Dental), with an intracoronal preparation depth of 2 mm (group H2), with extra 1- (group H3) or 2-mm (group H4) intraradicular extensions in the root canals (n=12). Vita Enamic polymer-infiltrated ceramic-network material endocrowns were fabricated using the CEREC AC CAD/CAM system and were seated on the prepared teeth...
July 5, 2016: Operative Dentistry
Hatem M El-Damanhoury, Marianna Gaintantzopoulou
OBJECTIVES: To evaluate the effect of immediate dentin sealing and optical powder removal method on the fracture resistance of CAD/CAM-fabricated ceramic endocrowns. MATERIALS AND METHODS: Seventy-eight extracted premolars were endodontically treated. Standardized endocrown preparations were done in 60 teeth. Teeth were divided equally (n = 10) depending on the treatment of dentin (delayed sealing [DS] or immediate sealing [IS]), and the methods of optical powder removal (air-water spray washing [AW]; microabrasion [MA]; or aqueous suspension of pumice [PB], followed by air-water spray washing)...
2016: International Journal of Computerized Dentistry
Marco M M Gresnigt, Mutlu Özcan, Mieke L A van den Houten, Laura Schipper, Marco S Cune
OBJECTIVE: Multiphase resin composite materials have been advocated as an alternative to reinforced ceramics but limited information is available to date on their stability. This in vitro study evaluated the effect of axial and lateral forces on the strength of endocrowns made of Li2Si2O5 and multiphase resin composite. METHODS: Sound human molars (N=60, n=10 per group) were randomly divided into 6 groups: Group C: Control, no preparation or restoration; Group LI: Endocrown made of Li2Si2O5 (IPS e...
May 2016: Dental Materials: Official Publication of the Academy of Dental Materials
Jing Guo, Xiao-Yu Wang, Xue-Sheng Li, Hai-Yang Sun, Lin Liu, Hong-Bo Li
OBJECTIVE: To evaluate the effect of different designs of marginal preparation on stress distribution in the mandibular premolar restored with endocrown using three-dimensional finite element method. METHODS: Four models with different designs of marginal preparation, including the flat margin, 90° shoulder, 135° shoulder and chamfer shoulder, were established to imitate mandibular first premolar restored with endocrown. A load of 100 N was applied to the intersection of the long axis and the occlusal surface, either parallel or with an angle of 45° to the long axis of the tooth...
February 2016: Nan Fang Yi Ke da Xue Xue Bao, Journal of Southern Medical University
Leonardo Fernandes da Cunha, José Mondelli, Caroline Moreira Auersvald, Carla Castiglia Gonzaga, Rafael Francisco Lia Mondelli, Gisele Maria Correr, Adilson Yoshio Furuse
A common problem encountered by dentists is the restorative treatment of nonvital teeth. When the pulp chamber presents appropriate conditions for retention, the endocrown is indicated. This monolithic, ceramic adhesive restoration is singularly used yet warrants wider recognition and use. The endocrown allows preservation of the tooth structure and is minimally invasive. Currently, this treatment option, of a core buildup and full coverage restoration, reduces tooth structure excessively. This treatment presents not only functional limitations but also aesthetic concerns...
2015: Case Reports in Dentistry
A O Carvalho, G Bruzi, R E Anderson, H P Maia, M Giannini, P Magne
OBJECTIVE: To assess the influence of adhesive core buildup designs (4-mm buildup, 2-mm buildup, and no buildup/endocrown) on the fatigue resistance and failure mode of endodontically treated molar teeth restored with lithium disilicate computer-aided design/computer-aided manufacturing (CAD/CAM) complete crowns placed with self-adhesive cement. METHODS AND MATERIALS: Forty-five extracted molars were decoronated at the level of the cementoenamel junction and endodontically treated...
January 2016: Operative Dentistry
T Otto, W H Mörmann
In 55 patients, 25 endocrowns (test) and 40 shoulder crowns (control) were produced chairside in a private practice using the Cerec 3 (CAD/CAM) method and Vita Mark II feldspathic ceramic. The crowns were examined at baseline and after up to 12 years using modified USPHS criteria. The survival estimate was assessed by Kaplan-Meier analysis. The 12 years survival estimate of the shoulder crowns was 95% on molars and 94.7% on premolars. Endocrowns showed 90.5% survival on molars and 75% on premolars. Statistically, the differences between the survival estimates were not significant (P > 0...
2015: International Journal of Computerized Dentistry
Giovanni Tommaso Rocca, Carlo Massimo Saratti, Antoine Poncet, Albert J Feilzer, Ivo Krejci
To evaluate the marginal adaptation of endodontically treated molars restored with CAD/CAM composite resin endocrowns either with or without reinforcement by fibre reinforced composites (FRCs), used in different configurations. 32 human endodontically treated molars were cut 2 mm over the CEJ. Two interproximal boxes were created with the margins located 1 mm below the CEJ (distal box) and 1 mm over the CEJ (mesial box). All specimens were divided in four groups (n = 8). The pulp chamber was filled with: group 1 (control), hybrid resin composite (G-aenial Posterior, GC); group 2, as group 1 but covered by 3 meshes of E-glass fibres (EverStick NET, Stick Tech); group 3, FRC resin (EverX Posterior, GC); group 4, as group 3 but covered by 3 meshes of E-glass fibres...
May 2016: Odontology
H M El-Damanhoury, R N Haj-Ali, J A Platt
This study assessed marginal leakage and fracture resistance of computer-aided design/computer-aided manufacturing (CAD/CAM) fabricated ceramic crowns with intracoronal extensions into the pulp chambers of endodontically treated teeth (endocrowns) using either feldspathic porcelain (CEREC Blocks [CB], Sirona Dental Systems GmbH, Bensheim, Germany), lithium disilicate (e.max [EX], Ivoclar Vivadent, Schaan, Liechtenstein), or resin nanoceramic (Lava Ultimate [LU], 3M ESPE, St Paul, MN, USA).). Thirty extracted human permanent maxillary molars were endodontically treated...
March 2015: Operative Dentistry
Patrick R Schmidlin, Bogna Stawarczyk, Danielle DeAbreu, Andreas Bindl, Andreas Ender, Ionut P Ichim
OBJECTIVE: To evaluate the fracture resistance and failure types of modified H-designed intradental short retention preparation for computer-aided design/computer-assisted manufacture (CAD/CAM) restorations, in cases where no ferrule is possible. METHOD AND MATERIALS: A combined finite element analysis and in vitro testing was employed. Forty extracted single-rooted premolars were selected and prepared for the following four groups (n = 10 per group): Group A, H-post preparation restored with glass-ceramic crowns; group B, H-post preparation restored with lithium disilicate crowns; group C, endocrowns (negative control group); and group D, 2-mm ferrule preparation and restoration with fiber posts (positive control)...
February 2015: Quintessence International
N Decerle, M Bessadet, M L Munoz-Sanchez, C Eschevins, J Veyrune, E Nicolas
This study aimed to evaluate clinical qualities and evolution on ceramic endocrowns produced with the Cerec 3D (Sirona). Endocrowns were produced in a hospital environment and evaluated according to the FDI criteria on the day of placement and 6 months afterwards. Each item was graded from 1 (good) to 5 (bad). A global score, as well as a score for aesthetics, functioning and biological integration was assessed for each evaluation. During the 6-month evaluation period, the scores were always related to good clinical quality, except for single crown restoration...
June 2014: European Journal of Prosthodontics and Restorative Dentistry
P Magne, A O Carvalho, G Bruzi, R E Anderson, H P Maia, M Giannini
OBJECTIVES: To evaluate the influence of adhesive core buildup designs-4-mm buildup, 2-mm buildup, and no buildup (endocrown)-on the fatigue resistance and failure mode of endodontically treated molar teeth restored with resin nanoceramic (RNC) CAD/CAM complete crowns placed with self-adhesive resin cement. METHODS AND MATERIALS: Forty-five extracted molars were decoronated at the level of the cementoenamel junction, and the roots were endodontically treated. Specimens received different Filtek Z100 adhesive core buildups (4-mm buildup, 2-mm buildup, and no buildup, endocrown preparation) and were restored with Cerec 3 CAD/CAM RNC crowns (Lava Ultimate)...
November 2014: Operative Dentistry
Ladislav Gregor, Serge Bouillaguet, Ioana Onisor, Stefano Ardu, Ivo Krejci, Giovanni Tommaso Rocca
STATEMENT OF THE PROBLEM: The complete polymerization of luting resins through thick indirect restorations is still questioned. PURPOSE: The purpose of this study was to evaluate the degree of polymerization of light- and dual-polymerizable luting resins under thick indirect composite resin and ceramic endocrowns by means of Vickers microhardness measurements. MATERIAL AND METHODS: The Vickers microhardness measurements of a light-polymerizable microhybrid composite resin and a dual-polymerizable luting cement directly polymerized in a natural tooth mold for 40 seconds with a high-power light-emitting diode lamp (control) were compared with measurements after indirect irradiation through 7...
October 2014: Journal of Prosthetic Dentistry
Roopak Bose Carlos, Mohan Thomas Nainan, Shamina Pradhan, Roshni Sharma, Shiny Benjamin, Rajani Rose
Clinical success of endodontically treated posterior teeth is determined by the postendodontic restoration. Several options have been proposed to restore endodontically treated teeth. Endocrowns represent a conservative and esthetic restorative alternative to full coverage crowns. The preparation consists of a circular equigingival butt-joint margin and central retention cavity into the entire pulp chamber constructing both the crown and the core as a single unit. The case reports discussed here are moderately damaged endodontically treated molars restored using all ceramic endocrowns fabricated using two different systems, namely, CAD/CAM and pressed ceramic...
2013: Case Reports in Dentistry
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