Endocrown fracture resistance in molars using different CAD/CAM materials: a narrative review of invitro studies

Traditionally, the restoration of endodontically treated posterior teeth with significant coronal structure loss was done with a conventional crown and a core post. With advancements in adhesive techniques, alternative restorative approaches emerged, such as the endocrown, which utilizes the pulp ch...

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Detalles Bibliográficos
Autores: Maita-Castañeda , Luis Mariano, Maita-Véliz, Luis, Ramos-Perfecto, Donald, Luque-Peralta, Sonia
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:Perú
Institución:Universidad de San Martín de Porres
Repositorio:Revistas - Universidad de San Martín de Porres
Idioma:español
OAI Identifier:oai:revistas.usmp.edu.pe:article/3141
Acceso en línea:https://portalrevistas.aulavirtualusmp.pe/index.php/Rev-Kiru0/article/view/3141
Access Level:acceso abierto
Palabra clave:Flexural Strength; CAD/CAM; Endodontically Treated Teeth
Resistencia a la Fractura; CAD/CAM; Dientes Endodónticamente Tratados
Descripción
Sumario:Traditionally, the restoration of endodontically treated posterior teeth with significant coronal structure loss was done with a conventional crown and a core post. With advancements in adhesive techniques, alternative restorative approaches emerged, such as the endocrown, which utilizes the pulp chamber as a macromechanical retentive mean, thereby preserving the maximum amount of remaining dental tissue. Furthermore, a variety of CAD/CAM materials are now increasingly accessible to clinicians. The objective is to know the findings of in vitro studies on molars regarding the fracture resistance of endocrown using different CAD/CAM materials. This narrative review compiled original articles from bibliographic databases including PubMed, LILACS, SciELO, Scopus, and Google Scholar published between 2018 and 2023. It is concluded that lithium disilicate ceramic endocrown demonstrated the highest mean fracture resistance values compared to other groups, while repairable failure modes were observed in polymer-infiltrated ceramic-network (PICN) and resin-based composite materials.