Endocrowns as a Paradigm Shift in Post-Endodontic Rehabilitation: A Case Study

Abstract

Restorative management of endodontically treated teeth has long been a subject of debate, owing to the need to balance preservation of remaining tooth structure with adequate retention and resistance form. Traditionally, post-and-core systems have been employed to reinforce such teeth; however, these approaches often require additional removal of radicular dentin and may predispose the tooth to structural compromise. With the advent of advanced adhesive systems and improvements in restorative materials, there has been a paradigm shift toward more conservative and biomimetic treatment strategies. Endocrowns have emerged as a contemporary and effective alternative for the rehabilitation of endodontically treated teeth, particularly in posterior regions. By utilizing the pulp chamber for macromechanical retention along with adhesive bonding for micromechanical retention, endocrowns eliminate the need for intraradicular posts and cores. This not only simplifies the clinical procedure and reduces chairside time but also preserves sound tooth structure and minimizes the risk of root fracture. Additionally, the use of high-strength ceramic and resin-based materials enhances the functional performance and esthetic outcomes of these restorations. Consequently, endocrowns represent a reliable, minimally invasive, and clinically efficient restorative option, aligning with the principles of modern adhesive dentistry while ensuring long-term success in the rehabilitation of endodontically treated teeth. This manuscript contributes to the scientific community by critically highlighting the clinical relevance of endocrowns as a minimally invasive and biomimetic alternative for restoring endodontically treated teeth. It supports the ongoing shift toward adhesive dentistry by emphasizing techniques that preserve tooth structure while maintaining functional durability. Additionally, it provides valuable insight into contemporary restorative strategies, aiding clinicians in evidence-based decision-making. Overall, the work helps bridge the gap between traditional concepts and modern advancements in restorative dentistry.