Endocrowns in Oral and Social Rehabilitation: A Narrative Review of Conservative Restoration for Endodontically Treated Teeth

Restoration of endodontically treated teeth plays a vital role in oral function, esthetics, and psychosocial well‑being. Endocrowns have gained attention as a conservative, adhesive restorative option that may support functional and social rehabilitation, particularly in patients with extensive coronal tooth loss. This narrative review aims to summarize and critically discuss current evidence related to endocrowns, focusing on clinical performance, biomechanical behavior, material considerations, and their relevance in social rehabilitation dentistry. Available literature suggests that endocrowns demonstrate favorable survival rates, acceptable fracture resistance, and predominantly repairable failure modes when compared with conventional post‑and‑core crowns. Their minimally invasive nature, reduced treatment complexity, and potential cost‑effectiveness make them a promising option for restorative care in diverse socioeconomic settings. However, long‑term clinical evidence and patient‑reported outcome data remain limited.