Study reviews success and survival rates of endocrowns

Dental Tribune International

Fri. 17. July 2020

save

JEDDAH, Saudi Arabia: Endocrowns provide an alternative approach to restoring extensively damaged endodontically treated teeth. However, owing to a lack of data on their long-term survival and success rates, a Saudi researcher has conducted a systematic review and meta-analysis to determine when and whether they are an appropriate and predictable restorative option. He concluded that endocrowns appear to be a promising conservative restorative choice in selected patients.

In order to assist clinicians in the decision-making process, Dr Raghad A. al-Dabbagh, who works at the Department of Oral and Maxillofacial Prosthodontics in the Faculty of Dentistry at King Abdulaziz University in Jeddah, collated and reviewed published work on endocrown and conventional crown survival and success rates. The results of his meta-analysis showed an estimated overall five-year success rate of 77.7% for endocrowns and of 94.0% for conventional crowns. There were no statistically significant differences in overall survival or success estimates between the assessed restoration types.

In an interview with Dental Tribune International, al-Dabbagh explained that, while conventional crowns tend to perform better than endocrowns, the latter are still a sensible choice in some cases: “Endocrowns should be used in patients with extensively destructed teeth that would prefer to avoid crown lengthening or orthodontic treatment, to create a ferrule, for a predictable coronal restoration with a post and core and a crown.”

The noticeable difference between the survival rate of endocrowns and that of conventional crowns is the result of some of its disadvantages. According to al-Dabbagh, endocrowns are technique-sensitive because retention is highly dependent on bonding, and they are mainly indicated in molars with large pulp chambers.

However, endocrowns can be a simple alternative treatment because they conserve tooth structure and are easy to construct and time-efficient. “If endocrowns are selectively used, they provide a conservative, cost-effective alternative to conventional coronal restorations with acceptable survival rates,” al-Dabbagh added. However, further clinical studies are needed in his opinion.

The study, titled “Survival and success of endocrowns: A systematic review and meta-analysis”, was published online on 18 March 2020 in the Journal of Prosthetic Dentistry, ahead of inclusion in an issue.

Tags:

One thought on “Endocrowns: Study reviews success and survival rates”

Keith says:

October 1, 2020 at 8:22 pm

what is an endocrown??? How do you make one???

To post a reply please login or register

Head and neck cancer: Additional chemotherapy increases survival rate for older patients

LEIPZIG, Germany: Head and neck cancer is the sixth most common cancer worldwide and results in approximately 450,000 deaths per year. As a result of ...

Three-year clinical and radiographic outcomes of patients treated according to the All-on-4 concept in the daily practice: A prospective observational study on implants and prosthesis survival rates and complications

Objective: All-on-4 treatment concept is widely applied for complete-arch rehabilitations. Nevertheless, minor technical and biological complications can ...

Review study compares machined and sandblasted dental implant surfaces

BUDAPEST, Hungary: Previous studies have suggested that surface roughness is one of several key factors that influence the degree of biological integration ...

Endocrowns milled from CAD/CAM composites for high strength and flexibility

In the case described in this article, the patient benefited from the innovative clinical use of a high-quality milled composite material (Grandio blocs, ...

Study shows low HPV vaccination rates among female college students

TAMPA, Fla., U.S.: With oropharyngeal cancer related to the human papillomavirus (HPV) on the rise, oral health professionals can play a key role in ...

Study analyses tooth survival after root canal therapy in US population

INDIANAPOLIS, US: Though there have been many studies on the survival rate of endodontically treated teeth, only a relatively small proportion of these have...

Review confirms clinical success of Nobel Biocare’s TiUnite surface

ZURICH, Switzerland: A new systematic review and meta-analysis has provided evidence confirming the efficacy of Nobel Biocare implants with the TiUnite ...

Job satisfaction: Dentists rate highly in new study

JEONJU, South Korea: Though dentistry is generally a highly paid profession, stressors such as financial pressure and a high level of responsibility can ...

Divisive review reignites debate on fluoridation and children’s IQ

DURHAM, N.C., US: The practice of fluoridating US community water supplies to prevent dental caries is hailed as one of ten great public health achievements...

Review explores relationship between obesity, diabetes and tooth loss

ŌTSU, Japan: The links between diabetes, obesity and periodontal disease are well established; however, most studies on their associations have had sample ...

Education

Live webinar
Mon. 15 September 2025
1:00 pm EST (New York)