[根管治疗后修复:直接修复还是间接修复?]

M C F M de Kuijper, M M M Gresnigt
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引用次数: 0

摘要

在修复经过牙髓治疗的牙齿时,重要的是要保留牙颈周牙本质,使其特别能抵抗咀嚼时产生的侧向力。当发现牙颈周牙本质很少时,就需要进行粘接修复。使用粘接剂直接修复和间接修复进行牙髓治疗的牙齿在 5 年后的存活率在 90.5% 到 95.0% 之间。决定采用直接修复还是间接修复,首先要看是否可以预测修复的解剖结构和光泽度。由于牙髓治疗后的牙齿很容易受到侧向力的影响,因此在直接或间接修复后控制这些力是很重要的。这可以通过降低尖面坡度和/或用修复材料覆盖尖面来实现。
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[Post-endodontic restoration: a direct or indirect restoration?]

When restoring an endodontically treated tooth, it is important to preserve the pericervical dentin so it is resistant especially to lateral forces occurring during mastication. When little pericervical dentin is seen to be present, an adhesive restoration is indicated. Tooth survival of endodontically treated teeth restored with adhesive direct and indirect restorations varies between 90.5% and 95.0% after 5 years. Deciding between a direct or an indirect restoration depends above all on the possibility to predictably restore the anatomy and on gloss retention. Because endodontically treated teeth are vulnerable to lateral forces, control of these forces after direct or indirect restoration is important. This can be achieved by a reduction in the steepness of the cuspal slope and/or by covering the cusps with the restorative material.

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