[Root canal post for build-up restorations: necessary or redundant?]

W A Fokkinga, L A Jongsma, C M Kreulen
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Abstract

The purpose of root canal posts is to obtain additional retention for build-up restorations of endodontically treated teeth so they can be functionally reconstructed. Due to developments in adhesive dentistry and a lack of clinical evidence, root canal posts are used less and less. Currently, the advice of the European Society of Endodontology is to use a root canal post only in front teeth and premolars in the absence of remaining coronal dentine walls. It is important to avoid additional preparation when placing a root canal post, because this causes (additional) weakness of the tooth. The loss of dental tissue due to preparation cannot be compensated for by placing a post.

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[根管柱用于堆积修复:必要还是多余?]
根管桩的目的是为根管治疗后的牙齿获得额外的固位,以便对其进行功能重建。由于粘接牙科的发展和临床证据的缺乏,根管桩的使用越来越少。目前,欧洲牙髓病学会的建议是只在前牙和前臼齿没有剩余冠状牙本质壁的情况下使用根管柱。放置根管柱时避免额外的预备非常重要,因为这会导致牙齿(额外的)软弱。由于预备造成的牙体组织损失是无法通过放置根管柱来弥补的。
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