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Case Report
Ceramic onlay for endodontically treated
mandibular molar
Roopadevi Garlapati, Bhuvan Shome Venigalla1, Shekhar Kamishetty1, Jayaprakash Thumu
Department of Conservative Dentistry and Endodontics, Sibar Institute of Dental Sciences, Guntur,
1
Department of Conservative Dentistry and Endodontics, Sri Sai College of Dental Surgery, Vikarabad,
Andhra Pradesh, India
ABSTRACT
Restoration of endodontically treated teeth is important for the success of endodontic
treatment. In full coverage restorations, maximum amount of tooth structure is compromised,
so as to conserve the amount of tooth structure partial coverage restorations, can be
preferred. This case report is on fabrication of a conservative tooth colored restoration for
an endodontically treated posterior tooth. A 22-year-old male patient presented with pain
in the mandibular left first molar. After endodontic treatment, composite material was used
as postendodontic restoration. The tooth was then prepared to receive a ceramic onlay and
bonded with self-adhesive universal resin cement. Ceramic onlay restoration was periodically
examined up to 2 years.
Partial coverage restorations like gold onlays or ceramic As the onlay preparations are more conservative, most
onlays or resin composite onlays and cusp-covering of the tooth structure is preserved during preparation
silver amalgam restorations also provide the protection and the time needed for preparation is more less than
for endodontically treated teeth against fracture. that needed for a full coverage restorations and placing
Smales and Hawthorne in their study reported a good the supragingival margins causes less damage to the
survival rate of complex cusp covering silver amalgam periodontal tissues. But further long-term data are
partial coverage restorations.[8] necessary before this treatment to be considered for
general dental practice.
Conservation, preservation, and reinforcement of tooth
structure of an endodontically treated tooth can also CONCLUSION
be achieved by a partial coverage restoration rather
than a full coverage restoration. With the increased Ceramic onlays are partial coverage restorations which
demand of tooth colored restorations and improved are alternative for restoring endodontically treated
adhesive techniques, esthetic partial coverage crowns posterior teeth in certain clinical situations without
like ceramic crowns can be restored to preserve the interfering with the adjacent periodontal tissues, and
maximum amount of sound tooth structure.[4] not compromising much tooth structure, ceramic onlays
satisfy both functional and esthetic demands of patient.
In the present case, endodontically treated mandibular
left first molar was restored with a partial coverage REFERENCES
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Source of Support: Nil, Conflict of Interest: None declared
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