即刻牙本质密封在部分间接修复中有附加价值吗?]

M M M Gresnigt
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引用次数: 0

摘要

全冠/回扣是基于宏观机制留存原则。如今,间接部分修复体也可以像直接修复体一样可预测地与牙齿组织结合。因此,调整准备形式以适应修复是不必要的侵入性。如果直接修复不能很好地恢复形态,则主要采用局部陶瓷修复。在牙本质暴露的情况下,立即进行牙本质密封(IDS)可以防止失败。IDS提供了更高的结合强度,因此部分玻璃陶瓷修复体的存活时间更长。
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[Is Immediate Dentin Sealing of added value in partial indirect restoration?]

Full crowns/rebates are based on the principle of macro-mechanical retention. Nowadays, indirect partial restorations can also be bonded predictably to tooth tissue, just like direct restorations. Therefore, adapting the preparation form to the restoration is unnecessarily invasive. Partial ceramic restorations are mainly used if the morphology cannot be properly restored with direct restorations. In case of exposed dentin, an immediate dentin sealing (IDS) can prevent failures. An IDS gives a significantly higher bond strength and therefore a longer survival of partial glass-ceramic restorations.

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