What is Endocrown?

An Endocrown is a type of dental crown that is specifically designed for the restoration of a tooth that has undergone root canal treatment or has a significant loss of tooth structure. It is specifically meant for tooth with less structure and height where otherwise a normal crown won’t be possible. Unlike traditional crowns that rely on external tooth structure for support, Endocrown are anchored within the remaining tooth structure, including the pulp chamber and root canals.

Key characteristics of Endocrown include:

1. Preparation: The tooth is prepared by removing decayed or damaged tissue and creating a preparation that includes the pulp chamber and part of the root canals. This differs from the preparation for a traditional crown.

2. Internal Support: Endocrown utilize the internal anatomy of the tooth for support. The restoration extends into the pulp chamber and relies on the remaining tooth structure for stability.

3. Material: Endocrown can be made only from full ceramic and specifically preferable material is Emax. They are known for their strength and aesthetic properties.

4. Single Restoration: Endocrown are often used for single-tooth restorations, providing a comprehensive solution for teeth with extensive damage.

5. Minimally Invasive: The preparation for an endocrown is generally more conservative than that for a traditional crown since it relies on internal support and doesn’t need the full tooth to be cut circumferentially, preserving more of the natural tooth structure.

Indications for Endocrowns:

1. Endodontically Treated Teeth: After root canal treatment, a tooth may be weakened and more prone to fracture. An endocrown can provide both functional and esthetic restoration.

2. Extensive Tooth Decay: When a tooth has large cavities or significant loss of structure, an endocrown may be a suitable option to restore form and function.

3. Worn teeth with less height: Teeth that are worn of due to tobacco chewing or some other destructive habits have less height and in such cases only an endocrown might help to restore back the function.

4. Minimally Invasive Dentistry: The conservative preparation makes endocrown a choice in line with the principles of minimally invasive dentistry.

Endocrowns are often considered in cases where traditional crown placement may not be the most conservative or effective option. Endocrown as an alternative to traditional crowns are very helpful to save teeth which were otherwise doomed for extractionThe decision to use an endocrown is based on factors such as the extent of tooth damage, remaining tooth structure, and the overall oral health of the patient. As with any dental restoration, the choice of treatment should be determined through consultation with a dental professional.