Case report on Restoration of badly broken, endodontically treated posterior teeth

Success of endodontic therapy depends upon combination of a three dimension fluid tight obturation along with adequate post endodontic restoration to make the pulpless teeth to function as an integral part of the dental arch. Post endodontic coronal restoration is important to prevent ingress of microorganisms into coronal pulp. When endodontically treated posterior teeth (with and without coronal coverage restorations) were compared, a significant increase in the clinical success was noted when cuspal coverage crowns were placed on maxillary and mandibular molars and premolars. Often, we come across an endodontically treated tooth with little or no clinical crown in routine clinical cases. In such cases, additional retention and support of the restoration are difficult to achieve. The Richmond crown can be a good treatment alternative for restoration of such teeth. This case report discusses on Richmond crown as a post endodontic restoration of a badly mutilated mandibular first molar tooth.