Endovital and endocrown: A synergistic approach for conservative management of a grossly carious mandibular molar.

Abstract

The pulp tissue in teeth with pulpitis may be both healthy and inflamed at different levels. In cases of irreversible pulpitis, inflammation is confined to 2 mm of carious exposure. According to the literature, following the removal of diseased pulp tissue, the remaining vital tissue can be preserved. Koli et al. introduced the concept of the "Endovital technique," which integrates Nonsurgical Endodontic Treatment with Vital Pulp Therapy in multirooted teeth affected by symptomatic irreversible pulpitis (SIP) and apical periodontitis in one or more roots. This case report details a conservative approach for managing a grossly carious tooth with SIP and pulpal necrosis. Upon access opening, the tooth was found to be partially necrotic. The treatment involved performing vital pulp therapy to the root with vital tissue and nonsurgical root canal treatment on the root with necrotic pulp. Subsequently, an endocrown was placed as the postendodontic restoration.