ArticleEuropean journal of dentistry2026
Endocrowns for Rehabilitation of Anterior Teeth: In Vitro Mechanical Analysis.
Article in European journal of dentistry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
6 authors.
Funding
Abstract
Objective: This article evaluates the fracture load after mechanical cycling of severely damaged endodontically treated teeth restored with: (1) fiber post, composite resin core, and lithium disilicate (LD) crown; (2) individually fabricated LD post-core and LD crown; (3) LD endocrown; or (4) resin matrix ceramic endocrown. Materials and Methods: Sixty bovine roots were endodontically treated and prepared for intraradicular retention at depths of 10 or 5 mm. Fiber posts or individually fabricated LD post-cores were cemented into 10-mm-deep prepared root canals. LD crowns were manufactured and cemented onto the cores. Endocrowns (LD or resin matrix ceramic) were fabricated and cemented into 5-mm-deep prepared roots. All samples ( Statistical Analysis: Data were subjected to Kruskal-Wallis followed by Dwass-Steel-Critchlow-Fligner test ( Results: The LD post-core group exhibited seven failures regarding endodontic retention during mechanical cycling and showed the lowest fracture load (192.9 N; Discussion: The improved bonding potential of resin matrix ceramic endocrowns may contribute to higher fracture resistance and enhanced survival under mechanical fatigue compared to LD post-core systems. Conclusion: Resin matrix ceramic endocrowns are an option for restoring anterior severely damaged endodontically treated teeth, with the highest load to failure. However, the conventional post-core-crown strategy demonstrated lower number of failures during fatigue and lowest number of catastrophic failures (root fracture).
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Registered trials
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