Successful treatment of a damaged upper molar using 3D Technology: a case report with 4 years follow-up

CAD-CAM technology in endodontics

Aim: The aim of this case report is to describe, in a stepwise manner, the diagnosis, treatment planning, execution, and rehabilitation of a damaged upper molar using Sicat Endo software and a computer-aided design/computer-aided manufacturing (CAD/CAM) system.

Summary: A patient with no painful symptoms presented to our clinic to complete a treatment that had been initiated a year ago (left unfinished for personal reasons) to save the tooth. Clinical tests indicated a previously initiated therapy and normal apical tissues. Cone beam computed tomography (CBCT) was used for the diagnosis and treatment planning of the root canal procedure. The planning of the previously designed access cavity and identification of all the root canals was performed with Sicat Endo software (Sicat, Bonn, Germany). Additionally, the quality of the final root canal obturation was evaluated using Sicat Endo software. The final crown restoration was fabricated using a CAD/CAM system and pressed lithium disilicate material. Our case report revealed a successful four-year follow-up of a one-session endodontic treatment of a maxillary molar and CAD/CAM final restoration using digital technologies and 3D software.

Key learning points

• In the present case report, Sicat Endo Software was used for root canal treatment planning and for assessing the quality of final obturation.

• The present case report utilized CAD/CAM technology for one-session treatment.

• This case report presents a middle-term follow-up of four years on the use of digital technologies for one-session endodontic therapy and prosthetic rehabilitation.