Volume 20 Issue 9
Sep.  2022
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XIE Xiao-fei, LIU Fang, TIAN Rui-xue, YIN Xiao-xuan, GAN Hong-qin, ZHANG Kai. Application of metal endocrown in the restoration of residual crown of low occlusal gingival distance molar[J]. Chinese Journal of General Practice, 2022, 20(9): 1469-1472. doi: 10.16766/j.cnki.issn.1674-4152.002625
Citation: XIE Xiao-fei, LIU Fang, TIAN Rui-xue, YIN Xiao-xuan, GAN Hong-qin, ZHANG Kai. Application of metal endocrown in the restoration of residual crown of low occlusal gingival distance molar[J]. Chinese Journal of General Practice, 2022, 20(9): 1469-1472. doi: 10.16766/j.cnki.issn.1674-4152.002625

Application of metal endocrown in the restoration of residual crown of low occlusal gingival distance molar

doi: 10.16766/j.cnki.issn.1674-4152.002625
Funds:

 KJ2021A0790

 BYKY2019019ZD

  • Received Date: 2022-03-04
    Available Online: 2022-11-29
  •   Objective  To explore the effect of metal endocrown in the preservation and restoration of molar with insufficient gingival distance.  Methods  Patients from the Department of Stomatology of the First Affiliated Hospital of the Bengbu Medical College were selected for the study. The main criteria included 50 molars with 1-3 mm gingival distance, 50 molars with 50 teeth, including 28 males with 28 teeth and 22 females with 22 teeth (age range=18-60 years; average=42 years). After complete root-canal treatment, the tooth was prepared, a pure titanium inlay crown was prepared using the pulp cavity, and re-examination was conducted 1, 6, 12, and 18 months after the restoration was bonded (in reference to the United States Public Health Service evaluation criteria for dental restorations). The loosening and falling off of the prosthesis, fracture of the prosthesis or tooth, marginal tightness, secondary caries, gingival condition, and food impaction were observed and recorded.  Results  All 50 patients did not lose the follow-up, and all observation indices were normal during 1 month follow-up. During the follow-up period, no tooth or prosthesis fracture occurred, and the inlay crown fell off at the 5th, 9th, and 16th months, respectively. We found one case of marginal misfit, two cases of gingivitis, and one case of gingivitis with food impaction in 6 months. At 12 months, we found 2 cases of marginal misfit, 1 of marginal misfit with secondary caries, 3 of gingivitis, and 2 of gingivitis with food impaction. At 18 months, we found 3 cases of marginal misfit, 3 of marginal misfit with secondary caries, 4 of gingivitis, and 2 of gingivitis with food impaction.  Conclusion  The application of metal endocrown in the restoration of molars with insufficient gingival distance is satisfactory.

     

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