Do All Endo Treated Teeth Need A Crown

Рет қаралды 11,929

Күн бұрын

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: smilemastersindia@gmail.com
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

Пікірлер: 44

@soumitkundu9931 Жыл бұрын

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

@syedadil1796 9 сағат бұрын

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😊..

@poonampatel8451 11 ай бұрын

Wow... Amazing presentation

@genemathewjacob9641 Жыл бұрын

Excellent presentation of an important topic for all Endodontists !

@manjum559 Жыл бұрын

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

@arenlaimchen464 Жыл бұрын

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.

@monikajete5892 6 күн бұрын

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

@anuradhabodake1204 Жыл бұрын

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?

@asmitanandre8592 Жыл бұрын

Ur presentation and knowledge awesome..

@ashwatimadale3270 Жыл бұрын

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?

@shashigoyal6677 Жыл бұрын

Really really informative Thank you for sharing 🙏

@chetanraut3512 Жыл бұрын

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

@imakingrealm3254 Жыл бұрын

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

@deepalisangtani1415 Жыл бұрын

Thanks for this enlightening video

@saanviagarwal5328 Жыл бұрын

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

@adnanshaikh-fn4me Жыл бұрын

Thank u. Very much sir

@suvarnakondawale6020 Жыл бұрын

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

@getmoreattractive 11 ай бұрын

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

@DrMoezKhakianiMDSMumbai 3 ай бұрын

Glad it helped ☺️

@sarvanddental1245 Жыл бұрын

Sir such an amazing lecture 😊💐👏👏

@drartipatel1177 10 ай бұрын

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 ???

@FamilyDentalClinic Жыл бұрын

Very informative thank u Doc

@ashutoshdewangan846 Жыл бұрын

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

@pany167 Ай бұрын

Your analysis is simply Amazing...!!

@DrMoezKhakianiMDSMumbai 17 күн бұрын

Thank you

@kirangiri4044 Ай бұрын

What about brittleness and micro fractures ?

@neenamaniar3948 4 ай бұрын

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 3 ай бұрын

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

@biswadeeproychowdhury2219 Жыл бұрын

Thanks a lot

@maninderjitsingh6838 Жыл бұрын

👍 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 9 ай бұрын

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

@kiranraju9809 Жыл бұрын

Sir plz say about biorim in detail

@drivefortright9662 Жыл бұрын

Very informative

@kangami8354 Жыл бұрын

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

@DrHozefa Жыл бұрын

Excellent ❤

@bhrantibhatt6921 9 ай бұрын

Thanks a lot sir for amazing tips everytime.

@DrMoezKhakianiMDSMumbai 3 ай бұрын

Glad it helped

@derekshaji8173 Жыл бұрын

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.

@payalrohra5741 Жыл бұрын

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 Жыл бұрын

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

@zaheerturki6790 Жыл бұрын

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.