Background: Crowns are provided for teeth that have extensive caries, developmental defects, or decalcified following pulpectomy/root canal treatment (RCT). Until now, prefabricated crowns have been available of varying sizes to match molars which require replacement after adolescence.
Materials and methods: This case series illustrates an innovative technique of customized digital restoration (CDR) with the use of computer-aided design and manufacturing (CAD-CAM) for the fabrication of customized tooth-colored zirconium restoration for grossly decayed young permanent molars.
Result: Customized digital restoration is made through CAD-CAM which is more precise for young permanent molars.
Conclusion: This approach has the advantage of customization and definitive restoration in contrast to the prefabricated, unesthetic, and provisional options.