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Clinical Performance of Endocrowns in Molars: A Scoping Review
Anna Kontakou Zoniou1, Konstantinos Tzimas1, Eftychia Pappa1
1Department of Operative Dentistry, National and Kapodistrian University of Athens, 11527 Athens, Greece.
Medicina (Kaunas, Lithuania)
|September 27, 2025
Summary
Endocrowns offer a conservative alternative to post-and-core crowns for restoring molars. Further research is needed to confirm their long-term effectiveness and establish standardized guidelines for endodontically treated teeth.
Area of Science:
- Restorative Dentistry
- Dental Biomaterials
- Biomechanical Engineering
Background:
- Endocrowns represent a minimally invasive approach to dental restoration.
- They aim to preserve maximum natural tooth structure.
- This review compares endocrowns to conventional post-and-core restorations.
Purpose of the Study:
- To investigate the success rates of endocrowns in molar restorations.
- To evaluate the biomechanical performance and material efficacy of endocrowns.
- To compare endocrowns with post-and-core crowns.
Main Methods:
- A comprehensive literature review was performed.
- PubMed and Scopus databases were searched up to March 2025.
- 37 studies were included, focusing on molar restorations.
Main Results:
- Endocrowns showed comparable outcomes to post-and-core crowns in many aspects.
- Material selection and preparation design influenced clinical performance.
- Variability in reported outcomes necessitates further investigation.
Conclusions:
- Endocrowns are a viable, conservative option for extensively damaged molars.
- High-quality randomized clinical trials are essential for validating effectiveness.
- Standardized treatment guidelines are needed for restoring endodontically treated teeth (ETT).
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