Clinical Guidelines

Restoring an Endodontically Treated Tooth with Limited Interocclusal Space

A conservative endocrown approach is presented as an alternative to crown lengthening and post-retained restorations in a molar with severe structural loss.

By
Lisa D’Affronte, DDS
HELGA KENS
Howard Strassler, DMD
March 1, 2026
11 min

Inside Dentistry

1

Endocrowns are a conservative alternative for restoring endodontically treated teeth.
2

The selected material for the endocrown was lithium disilicate.
3

Avoiding crown lengthening preserves more tooth structure.
4

Proper adhesion protocols are critical for the success of endocrowns.
5

Endocrowns are beneficial for teeth with limited interocclusal space.
6

Clinical performance of endocrowns shows favorable survival rates (81.1% to 98.66%).
7

CAD/CAM technology enhances the efficiency of endocrown preparation.