Pulp Chamber Case Study

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c- Filling of pulp chamber The criteria of the central part of the endocrown extending into the pulp chamber area are not well defined. Whether there is ideal length and shape of this extension and whether it influences the strength and the retention of the whole restoration have not yet been established. According to some authors, the pulp chamber space can be managed differently and a composite build-up of this space has been suggested. (62; 67) Regardless of its composition, this resin composite base may help in preserving more sound tooth structure by filling cavity undercuts. Moreover, this build up leads to the fabrication of endocrowns with shorter extensions into the pulp chamber, resulting in fabrication of endocrowns with reduced thickness. This will lead to a better light penetration through …show more content…

GI bases may reduce the risk of cusp fracture during the time between cavity preparation and the insertion of final restoration. It was concluded that in non-vital teeth it seems that there was no need to fill the whole pulp chamber with a ceramic core, provided adequate tooth structure remained but long-term observation periods are needed to prove that in the clinical outcome. In some in vitro studies, fiber-reinforced composites (FRCs) have been also employed to reinforce cusp- replacing restorations. (69; 70; 71) Besides improving the strength of the restoration, results of these studies demonstrate that the incorporation of glass fibers into composite resin materials usually leads to more favorable fracture patterns above the CEJ because the fiber layer acts as a stress breaker and stops the crack propagation. Furthermore, and especially for endodontically treated teeth, this composite base reinforces cavity walls during the temporary phase.

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