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Publication
Reabilitações pós-endodônticas – coroa versus endocrown: revisão narrativa
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Abstract(s)
A perda da estrutura dentária é o principal fator de enfraquecimento do dente, e junto com o tratamento endodôntico, o dente sofre modificações que levam a alterações físicas e químicas, tornando-se ainda mais frágil. Por esse motivo a restauração coronária desempenha um papel fundamental para a longevidade da reabilitação do dente e pode ser realizada de forma direta ou indireta, entre essas opções existem a endocrown ou coroa de recobrimento total associada ao uso de espigão intrarradicular. Considerando os avanços nas técnicas adesivas e a busca por restaurações minimamente invasivas, esta revisão elucida as vantagens e desvantagens com base na literatura mais recente de cada técnica. A endocrown é uma excelente opção para a maioria das reabilitações, principalmente em casos limitantes com anatomia atípica ou pouco espaço protético. Enquanto as coroas continuam a ser a melhor opção para os casos com grandes destruições coronárias, comprometendo mais de 50% da sua estrutura.
The dental structure loss is the main weakening factor of the tooth, and along with endodontic treatment, the tooth undergoes modifications that lead to physical and chemical changes, becoming even more fragile. Thus, coronary restoration plays a fundamental role for the longevity of dental rehabilitation and can be performed directly or indirectly, among these options there is the endocrown or post crown. Considering the advances in adhesive techniques and search for minimally invasive restorations, this review elucidates the advantages and disadvantages based on the most recent literature of each technique. Endocrown is an excellent option for most rehabilitations, especially in limiting cases with atypical anatomy or little prosthetic space. While crowns remain the best option for cases with large coronary destruction, compromising more than 50% of their structure.
The dental structure loss is the main weakening factor of the tooth, and along with endodontic treatment, the tooth undergoes modifications that lead to physical and chemical changes, becoming even more fragile. Thus, coronary restoration plays a fundamental role for the longevity of dental rehabilitation and can be performed directly or indirectly, among these options there is the endocrown or post crown. Considering the advances in adhesive techniques and search for minimally invasive restorations, this review elucidates the advantages and disadvantages based on the most recent literature of each technique. Endocrown is an excellent option for most rehabilitations, especially in limiting cases with atypical anatomy or little prosthetic space. While crowns remain the best option for cases with large coronary destruction, compromising more than 50% of their structure.
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Keywords
Endocrown Ceramic crown Metal-ceramic crown Direct restorations Indirect restorations Post-endodontic reconstruction