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VOLUME 14 , ISSUE 2 ( July-December, 2022 ) > List of Articles

CASE REPORT

A New Concept of Posterior Mini-invasive Restorations: Clinical Procedures and Requirements—Case Report

Imen Kalghoum, Zeineb Riahi, Oumayma Mejri, Belhassen Harzallah, Mounir Cherif, Dalenda Hadyaoui

Keywords : Case report, Ceramic, Endocrown, Minimal invasive restoration, Molars, Onlay, Preparation, Tissue preservation

Citation Information : Kalghoum I, Riahi Z, Mejri O, Harzallah B, Cherif M, Hadyaoui D. A New Concept of Posterior Mini-invasive Restorations: Clinical Procedures and Requirements—Case Report. CODS J Dent 2022; 14 (2):61-66.

DOI: 10.5005/jp-journals-10063-0141

License: CC BY-NC 4.0

Published Online: 03-10-2023

Copyright Statement:  Copyright © 2021; The Author(s).


Abstract

Aim: To highlight the principle of tooth preservation in the case of endodontically treated teeth and show the particularities of its preparation and material choice according to the clinical case. Background: Endodontically treated tooth with moderately to large cavities often requires full coverage restoration that provides optimum replacement of anatomy and function. However, posterior indirect adhesive restorations are becoming very common nowadays in clinical practice, as they offer superior marginal adaptation with maximum tissue preservation; different approaches are in practice to provide better survival and advantages. Case description: A clinical case about a 25-year-old female patient with the complaint of repetitive fracture of her coronal restoration, diagnosed with localized periodontitis of the maxillary molar tooth (26) and treated with a hybrid ceramic endocrown. Clinical significance: The indication of minimally invasive restorations should be carefully raised, taking into consideration various factors such as remaining tissue of the tooth preparation design, type of material, and bonding procedure. The balance is between the tissue preservation of endodontically treated molars and sufficient thickness of material.


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  1. Roulet JF. Longevity of glass ceramic inlays and amalgam–results up to 6 years. Clin Oral Investig 1997;1(1):40–46. DOI: 10.1007/s007840050007
  2. Federlin M, Männer T, Hiller KA, et al. Two-year clinical performance of cast gold vs ceramic partial crowns. Clin Oral Investig 2006;10(2):126–133. DOI: 10.1007/s00784-006-0042-7
  3. Ferreira Rde S, Lopes GC, Baratieri LN. Direct posterior resin composite restorations: considerations on finishing/polishing. Clinical procedures. Quintessence Int 2004;35(5):359–366. PMID: 15130074.
  4. Frankenberger R, Hehn J, Hajtó J, et al. Effect of proximal box elevation with resin composite on marginal quality of ceramic inlays in vitro. Clin Oral Investig 2013;17(1):177–183. DOI: 10.1007/s00784-012-0677-5
  5. Bindl A, Mörmann WH. Clinical evaluation of adhesively placed Cerec endo-crowns after 2 years –preliminary results. J Adhes Dent 1999;1(3):255–265. PMID: 11725673.
  6. Fernandes AS, Dessai GS. Factors affecting the fracture resistance of post-core reconstructed teeth: a review. Int J Prosthodont 2001;14(4):355–363.
  7. Goodacre CJ, Campagni WV, Aquilino SA. Tooth preparations for complete crowns: an art form based on scientific principles. J Prosthet Dent 2001;85(4):363–376. DOI: 10.1067/mpr.2001.114685
  8. Magne P, Spreafico RC. Deep margin elevation: a paradigm shift. Am J Esthet Dent 2012;2(2):86–96.
  9. Hasan I, Frentzen M, Utz KH, et al. Finite element analysis of adhesive endo-crowns of molars at different height levels of buccally applied load. J Dent Biomech 2012;3:1758736012455421. DOI: 10.1177/1758736012455421
  10. Alhumaidan G, Alammar R, DA Asmari, et al. Clinical performance of indirectrestorations with cervical margin relocation in posterior teeth: a systematic review. Dent Rev 2022;2(1):100034. DOI: 10.1016/j.dentre.2022.100034
  11. Sarfati A, Tirlet G. Deep margin elevation versus crown lengthening: biologic width revisited. Int J Esthet Dent 2018;13(3):334–356.
  12. Ghezzi C, Brambilla G, Conti A, et al. Cervical margin relocation: case series and new classification system. Int J Esthet Dent 2019;14(3):272–284. PMID: 31312813.
  13. Dablanca-Blanco AB, Blanco-Carrión J, Martín-Biedma B, et al. Management of large class II lesions in molars: how to restore and when to perform surgical crown lengthening? Restor Dent Endod 2017;42(3):240–252. DOI: 10.5395/rde.2017.42.3.240
  14. Rocca GT, Rizcalla N, Krejci I, et al. Evidence-based concepts and procedures for bonded inlays and onlays. Part II. Guidelines for cavity preparation and restoration fabrication. Int J Esthet Dent 2015;10(3):392–413. PMID: 26171443.
  15. Loe H, Silness J. Periodontal disease in pregnancy. i. prevalence and severity. Acta Odontol Scand 1963;21:533–551. DOI: 10.3109/00016356309011240
  16. Kuper NK, Opdam NJ, Bronkhorst EM, et al. The influence of approximal restoration extension on the development of secondary caries. J Dent 2012;40(3):241–247. DOI: 10.1016/j.jdent.2011.12.014
  17. Bresser RA, Gerdolle D, van den Heijkant IA, et al. Up to 12 years clinical evaluation of 197 partial indirect restorations with deep margin elevation in the posterior region. J Dent 2019;91:103227. DOI: 10.1016/j.jdent.2019.103227
  18. Ferrari M, Koken S, Grandini S, et al. Influence of cervical margin relocation (CMR) on periodontal health: 12-month results of a controlled trial. J Dent 2018;69:70–76. DOI: 10.1016/j.jdent.2017.10.008
  19. Kelly JR, Benetti P. Ceramic materials in dentistry: historical evolution and current practice. Aust Dent J 2011;56(Suppl 1):84–96. DOI: 10.1111/j.1834-7819.2010.01299.x
  20. Gracis S, Thompson VP, Ferencz JL, et al. A new classification system for all-ceramic and ceramic-like restorative materials. Int J Prosthodont 2015;28(3):227–235. DOI: 10.11607/ijp.4244
  21. Ainamo J, Bay I. Problems and proposals for recording gingivitis and plaque. Int Dent J 1975;25(4):229–235. PMID: 1058834.
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