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Restauración dental permanente
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Resumen
Objetivo: Reportar un caso clínico de lesión endoperiodontal tratado y rehabilitado con restauración tipo endocrown impresa en resina, con seguimiento clínico de 3 años. Caso clínico: Paciente masculino adulto presentó lesión periapical extensa, pérdida ósea alveolar y destrucción coronaria en el diente 44. Se realizó terapia endodóntica durante 30 días, con cambios semanales de medicación intracanal tras la instrumentación inicial. Los exámenes radiográficos mostraron regresión significativa de la lesión, permitiendo raspajes periodontales y control del biofilm. Un año después, se efectuó la restauración tipo endocrown, siguiendo la secuencia: preparación interna de la cámara pulpar (fresa 3131), preparación externa del margen cervical en chaflán (fresa 4138), acabado, toma de impresión con silicona por adición, vaciado en yeso tipo IV, registro oclusal, endocrown provisional en resina acrílica (color 66), escaneo del modelo, planificación digital y impresión en resina NanoLab (A2, Wilcos), seguida de cementación con resina autoadhesiva. Consideraciones finales: La combinación de terapias endodóntica y periodontal, junto con la rehabilitación mediante endocrown impresa, permitió preservar el diente 44 funcional y estable, manteniéndose saludable tras 3 años de seguimiento.
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