Clinical Guidelines

Restoring an Endodontically Treated Tooth with Limited Interocclusal Space

A conservative endocrown approach is presented as an alternative to crown lengthening and post-retained restorations in a molar with severe structural loss.

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A 52-year-old female patient with extensive coronal destruction of a mandibular second molar underwent treatment for asymptomatic irreversible pulpitis. Conventional crown lengthening was avoided in favor of an adhesive monolithic lithium disilicate endocrown, preserving tooth structure and utilizing CAD/CAM technology for precise restoration. This approach demonstrates the effectiveness of endocrowns in managing limited interocclusal space while maintaining structural integrity and functional performance. The case supports the clinical use of endocrowns as a conservative alternative to conventional restorations with promising outcomes.

Original Source(s)

Restoring an Endodontically Treated Tooth with Limited Interocclusal Space

  • by Lisa D’Affronte, DDS, HELGA KENS, Howard Strassler, DMD

  • March 1, 2026

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