Alternativa restauradora por meio de endocrown: uma revisão da literatura.

Abstract

Introduction: The Crown endocrown is an indirect restoration made of adhesive monobloc ceramic and cemented with adhesive techniques. The crown retains the pulp chamber of the endodontically treated tooth without using the conduits. Endodontically treated teeth have reduced stiffness and resistance due to loss of structural integrity. This can lead to long-term biomechanical failures. Objective: To carry out a narrative literature review about the main characteristics of endocrowns. Methodology: The research was carried out from January 20 to April 2, 2019. Scientific articles were used from the following databases: SCIELO (Scientific Electronic Library Online), VHL (Virtual Health Library), and monographs that requirements in the period between 2008 and 2019, except for classic articles, in Portuguese, as well as in English and Spanish. We used the following descriptors for the search: "Endocrown", "Endocrown Prosthesis", "Endocrown Prosthesis", "Endocrown Prosthesis", with a result of 31 articles used. Conclusion: Endocrowns are indicated for endodontically treated posterior teeth, most often made by lithium disilicate, and present studies proving that the risk of fracture is inferior to the rehabilitations under the use of intraradicular retainers. Under good indication and evaluation, it is possible to obtain predictability of success, however, further research is needed to prove more and more the effectiveness of this alternative.