37th Annual Conference of European Prosthodontic Association, Turku, Finland, 21 - 24 August 2013, pp.84
When restoring maxillary anterior teeth which are damaged and endodontically treated aesthetic needs also have to be considered.
To ensure the longevity of the restoration tooth structure should be preserved and appropriate restoration should be selected. The recent advances in CAD/CAM technologies, ceramic materials and adhesive cementation materials increases the success rate of endocrown restorations and also enhances the esthetics for aforementioned restorations.
Damaged and endodontically restored teeth may sometimes need gingival correction in case there is subgingival damage and the use of Er,Cr:YSGG laser for gingivectomy delivers many advantages over conventional periodontal surgery, these advantages includes ease of hemostasis and shortened healing period.
THE CLİNİCAL REPORT
Here we present three endocrown cases in three different patients which are performed in two maxillary central and one maxillary lateral teeth. In one of the central tooth cases a laser gingival recontouring with Er,Cr:YSGG laser (Biolase Technology Inc, San Clement, CA) was performed. Subjected teeth are prepared for a circumferential butt margin and a central retention cavity inside the pulp chamber. Teeth were scanned with Cerec Omnicam (Sirona, Germany), monoblock endocrowns are desinged with Cerec3 system and milled with Cerec inLab MC XL milling unit using feldspatic porcelain Cerec Blocs. After adaptation and polishing restorations were cemented with resin cement (Panavia F 2.0, Kuraray, Japan) at the same session.
We found the results promising and encouraging for using endocrowns in maxillary anterior region. Treatments had been completed in one visit. The treatment process is cost effective and patient satisfaction is very high. At the third month checkover all restorations was intact and showed no sign of clinical failure. Long term follow up is also needed.