Ömer Faruk TURANOĞLU, Seda TURANOĞLU, Esra TALAY ÇEVLİK

Endokuron Restorasyonlar

Koronal dokuları aşırı derecede hasar görmüş dişlerde, endodontik tedavi uygulanmış dişlerin restorasyonu klinik bir zorluktur. Geleneksel tedavi yaklaşımı bu dişler için kök kanal postundan destek alan bir kor yapı üzerine uygulanan kuron restorasyonlardır. Ancak post boşluğu hazırlamada karşılaşılan zorluklar alternatif tedavi seçeneklerinin geliştirilmesine neden olmuştur. Endokuron restorasyonlar; kor yapıyı kuron restorasyonla bir araya getiren makro ve mikromekanik tutuculuğa sahip monoblok yapıda restorasyonlardır. Endokuron restorasyonlar, çürük ve madde kaybı dikkate alınarak tasarlanan kavitelere uygulanır. Sınırlı interoklüzal mesafe, yetersiz klinik kron ve yüksük uzunluğu olan dişlerin restorasyonu için endikedir. Endokuronlar, kısa veya kavisli kökler, kalsifiye veya dar kök kanalları, kök kanalında kırık alet varlığı gibi intraradiküler postların kullanımına ilişkin sınırlamalara çözüm olabilir. Endokron restorasyonlar sayesinde kök dentininde preperasyon yapılmayacağından kök dentinin kontaminasyonu önlenmiş olur ayrıca oluşabilecek komplikasyonların da önüne geçilmiş olur. Ayrıca restorasyonun supragingival bitirilmesi de birçok avantajı beraberinde getirmektedir. Bu derlemede endokuron restorasyonlar tanıtılmış endokuron restorasyonları inceleyen güncel çalışmaların bildirilmesi amaçlanmıştır.

Anahtar Kelimeler:

Endodontik tedavi, Endokuron restorasyonlar, İndirekt restorasyonlar

Endocrown Restorations

Restoration of endodontically treated teeth in severely damaged coronal tissue is a clinical challenge. The traditional treatment approach is a crown restorations applied on a core structure supported by the root canal post for these teeth. However, the difficulties encountered in preparing the post space have led to the development of alternative treatment options. Endocrown restorations are monoblock restorations that combines the core structure with the crown restoration, providing macro and micromechanical retantion. Endocrown restorations are applied to cavities prepared by considering caries and material loss. It is indicated for the restoration of teeth with limited interocclusal distance, insufficient clinical crown and ferrule length. Limitations on the use of intraradicular-posts, such as short or curved roots, calcified or small root canals, and fracture instruments, may be overcome with endocrowns. Due to endocrown restorations, root dentin contamination is prevented, and possible complications are prevented since no preparation is made on the root dentin. In addition, supragingival finish of the restoration provides many advantages. The aim of this review was to define endocrown restorations and report current studies.

Keywords:

Endo-crown restorations, Endodontic treatment, Indirect restorations,

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