Restoration of endodontic molars with hybrid resin over amalgam stump. About a case

Abstract

Introduction: Nowadays functional and aesthetic restoration of endodontic teeth with a great loss of dental tissue, is performed by means of an indirect method, however the construction of amalgam’s stumps as an element for the metal substitution is a viable therapeutic option. 
Objective: To show the viability of endodontic molars aesthetic and functional restoration with a great loss of dental tissue, through direct method with resin on amalgam stump.
Case Presentation: Treatment applied to a 35-year-old patient with antecedents of traumatism conditioning complicated fractures of crown in 36 and 37, treated with radical endodontic therapy 2 years ago. Arrived to the consulting room presenting losses of more than two thirds of the coronal tissues in both cases. After verifying that both molars met the requirements, the cavities were prepared, followed by the conformation of amalgam’s stumps over which after 48h, was applied a nano hybrid resin for the definitive restoration.
Conclusions: The cosmetic treatment with Nano composite resin over the amalgam stump is an alternative and viable therapy for the functional and aesthetic restoration by means of a direct procedure, even in molars with great loss of dental tissue and subjected to radical endodontic therapy.

Keywords: Restoration of endodontic teeth, dental cosmetic, Nano composites for stumps, amalgam stumps.