Do All Endo Treated Teeth Need A Crown

Until a few years ago, I would have confidently replied 'Of Course A Crown Is Mandatory After Every RCT'. But today the mindset is different, because as a clinician I am a whole lot more mature and aware of the value of conservation.
While crowns are often recommended to protect and strengthen the tooth, their necessity is questioned by modern day adhesive dentistry.
Endodontic treatment is accepted to leave behind a weakend tooth structure that needs help of a restoration/prosthesis to restore form, function and aesthetics. Question arises, at what cost?
Should strengthening of the tooth come at the cost of first weakening it? Coz that is exactly what we do when preparing teeth for full coverage restorations... we strip the tooth off its protective enamel cover, leaving the burden of occlusion on the weakened dentin... Which we all appreciate is not designed for this abuse.
Now imagine a world where a partial glass ceramic or composite restoration can be bonded using minimally invasive protocols. That is the crux of this Tip-SEE-Tuesday where I present a new mindset for modern day dentistry that believes in 'Prevention of Extension' and share my recommendations for rehabilitation of endo treated molars.
Give it a try, and believe me you will fall in love with the concept that ticks all boxes of Biologic, Mechanical and Aesthetic Principles of Tooth Preparation.
To connect with my practice- Smile Masters and Jaw Joint Matters:
Whatsapp: wa.me/7738968210
E-Mail: [e-mail]
Feel free to line up a Zoom online consult if you reside outside Mumbai.
Follow me on Instagram: drmoezkhakiani?...
To learn more from me: www.mikeducation.com/ (For Dentists)
#learningwithmik #tipseetue #biomimetic dentistry #tabletop #adhesivedentistry #minimallyinvasivedentistry #loveforenamel #nomoreendo #intentionalendodontics #learntherightthing

[@gurleenkaur676]

Awesome video as always sir…thanks…please enlighten us more on inlay onlay and crownlay concepts and preparation

[@soumitkundu9931]

I never come across such amazing concept and tips regarding that topic.thank u Dr.Moez for this

[@monikajete5892]

Thank you sir very informative Make a video on onlay and inlay preparation

[@genemathewjacob9641]

Excellent presentation of an important topic for all Endodontists !

[@manjum559]

Excellent video sir. Pls make a video on onlay preparation and luting techniques. Thank you

[@syedadil1796]

Thank you sir for such an Informative video. I've been practicing the same for the last 5 years and have not got a single complaint. But i did because my patients are from low economic backgrounds and mostly willing for extraction I have to convince them to save teeth. Good restoration really works😊..

[@arenlaimchen464]

Thank you Doc for the amazing concept. Its great as always. Talking about the occlusal veneer, where does its primary retention derive from? Or how good will be the retention form? Because when it comes to full coverage crowns, incase of short clinical crown height, monolithic crowns are advisable (with retentive grooves, if necessary). But in this case of occlusal veneer, its like we are intentionally opting for a coverage for a short clinical crown height. So how good will be the retention? And also its resistance? Thank you.

[@poonampatel8451]

Wow... Amazing presentation

[@asmitanandre8592]

Ur presentation and knowledge awesome..

[@adnanshaikh-fn4me]

Thank u. Very much sir

[@shashigoyal6677]

Really really informative Thank you for sharing 🙏

[@deepalisangtani1415]

Thanks for this enlightening video

[@chetanraut3512]

Sir please prepare a video on shade matching and how to communicate with the labs

[@saanviagarwal5328]

Thank u for ur wonderful explainations sir ,I request you to enlighten us on temporising partial crown cases and removal of this temporary caps made from protemp before cementing permanents

[@biswadeeproychowdhury2219]

Thanks a lot

[@ashwatimadale3270]

Great Video Doctor, I have question if it's an anterior tooth what do you suggest say 23 proximal caries and than RCT was done. What do you suggest for that? Can we do only composite and leave?

[@FamilyDentalClinic]

Very informative thank u Doc

[@imakingrealm3254]

Hi doc. I would like to share your thoughts in tip-see-tuesday about preparation of vital teeth and creteria and signs of devitalising them. Thank you

[@getmoreattractive]

Thank you sir, this was a much needed topic to be discussed

[@DrMoezKhakianiMDSMumbai]

Glad it helped ☺️

[@kiranraju9809]

Sir plz say about biorim in detail

[@sarvanddental1245]

Sir such an amazing lecture 😊💐👏👏

[@anuradhabodake1204]

What if the 3rd case (which has lost both marginal ridges) is not endo treated? We still need to give overlay or the composite will survive there?

[@pany167]

Your analysis is simply Amazing...!!

[@DrMoezKhakianiMDSMumbai]

Thank you

[@kirangiri4044]

What about brittleness and micro fractures ?

[@suvarnakondawale6020]

Before endo we did occlusion reduction....so in class 1 case....should we just build cusp with composite.....right???

[@bhrantibhatt6921]

Thanks a lot sir for amazing tips everytime.

[@DrMoezKhakianiMDSMumbai]

Glad it helped

[@drivefortright9662]

Very informative

[@DrHozefa]

Excellent ❤

[@kangami8354]

I believe it will depend on patient eating habits also whether to go for crown or not.

[@neenamaniar3948]

What is the role of good Fiber posts in these restoration especially the premolars .Now a days for deep class 5 cavities going into rct .,I use good thin Fiberpost and composite.Sometimes even for class 2 .Additionally use ribbond .Any studies on that ?

[@DrMoezKhakianiMDSMumbai]

I'm a big fan of fibres but not fibre post.

[@drartipatel1177]

Sir, what about discoloration of endo treatment tooth ? If we only go ahead with composite restoration occusally in class 1 type of case, other portion of the tooth will discolor after few months or years, doesn't that a requirement for a full coverage crown ???

[@ashutoshdewangan846]

Q1 Can we place onlay on composite restoration or should we remove the composite extend onlay to class 2 restoration Q1 can we use indirect composite itself as onlay or inlay instead of lidisilicate,will it survive more than a direct composite

[@flashgamingadviklive8692]

What about anterior tooth

[@maninderjitsingh6838]

👍 sir I have one question, I give 3unit bridge to pat. for missing 45 , From 44 to 46 , every thing ok for 4-5 months but after there is distal movement of 47 lead to interproximal food impaction and cause swelling of gum .... Then remove entire bride and replace it free of cost. Sir what is fault in this case and how to prevent these kinds of complications

[@sadiatahsin7608]

The crown contour wasn't perfect and the contact point with the adjacent teeth was lost ,so space was there and the adjacent one tried to tit as it is the basic nature of a natural tooth

[@derekshaji8173]

sir in a min access opening done rct treated tooth even if composite is given as u suggested. since endo is done the tooth become dry because of loss of water content and because its avascular. so long term it will tend to fracture. so wouldn't doing a crown be a better option? sir also u didnt mention about endocrowns.

[@BipolarPumpkin]

Wish i could train under him

[@user-ny9oh1xf4f]

Mashallah love from Pakistan ❤

[@payalrohra5741]

But I don't agree with this, i have seen cases where patients don't go for crown for class 1 endo cases, and they come back after few years with fracture por as well as tooth, why that happens then?

[@karan5194]

Endo access was poor plus bio mechanical preparation using unnecessary large tapers causing loss of peri cervical dentine

[@zaheerturki6790]

It can totally depend on quality and techniques used while laying composite. Sir has only explained about the mechanics which shows sustainability of endo treated tooth.