Endocrown With Cad Cam Technology

Abstract

The rehabilitation of endodontically treated teeth has various clinical characteristics and properties that are different from vital pieces, such as their structure, resistance, and hydration. That is the reason why it makes it difficult for the professional to restorate them. The objective is to select the most resistant material to create crowns in endodontic teeth. It was done through updated bibliographic research for the elaboration of endocrowns with CAD/CAM technology. Materials and Methods: The current research work is based on an analytical and descriptive approach of scientific articles about the resistance of the most suitable material used for the elaboration of endocrowns with CAD CAM technology. A bibliographic review of the last 5 years was carried out, from 2016 to 2021. The review consisted of 50 scientific articles found on different publication and search platforms such as: Google Scholar, Scielo, Pubmed, Clinical Key. After applying inclusion and exclusion criteria, 27 articles were chosen. Those articles met the research focus. Results showed that the most used material which reflects greater stability regarding the forces present in chewing is lithium disilicate. It was also determined that lithium disilicate is also a good alternative in aesthetic cases when requiring an endocrown-type restoration, even in parts of the tooth where an aesthetic is vital. After the bibliographic review some conclusions were drawn, the first one concerning lithium disilicate as an optimal restorative material that, when designed and milled by CAD CAM, together with an adequate and updated adhesive protocol, provides stability and lower risk of fracture, which allows a restoration of long-lived endocrown types and minor intervention of the dental pieces.