基于覆盖、粘附、阻力、美学和龈下管理的后部修复临床指南。

Pub Date : 2023-10-11
Jorge André Cardoso, Pasquale Venuti, Paulo Julio Almeida, Raul Costa, Hugo Costa Lapa, Luis Afonso
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引用次数: 0

摘要

具有不同程度组织损失的后牙的修复一直是文献中争论的问题。关于何时、如何以及为什么进行粘性修复(上牙、覆盖层和内牙冠)或阻力型修复(全轮廓阻力牙冠),有一些建议和指南。在这篇由三部分组成的系列文章的第一部分中,作者重点介绍了粘性部分修复体。在那篇文章中,对证据进行了广泛的描述,并根据易感尖端的覆盖率、粘附优势和局限性、要实施的抵抗形式、美学问题和龈下管理——CARES概念——为这些决定提出了临床上合理的思考过程。现在,在第二部分中,重点是基于剩余牙齿结构、材料和不同的预备设计,以及垂直边缘预备的特殊性、周边修复考虑和美学挑战,就全轮廓电阻冠的适应症做出临床决策。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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Clinical guidelines for posterior restorations based on Coverage, Adhesion, Resistance, Esthetics, and Subgingival management. The CARES concept: Part II - full-contour resistive crowns with vertical preparation.

Restoration of posterior teeth with different extents of tissue loss has been a matter of debate in the literature. There are several recommendations and guidelines on when, how, and why to perform adhesive restorations (onlays, overlays, and endocrowns) or resistance form restorations (full-contour resistive crowns). In Part I of this three-part article series, the authors focused on adhesive partial restorations. In that article, the evidence was extensively described, and a clinically reasonable thought process was suggested for these decisions based on Coverage of susceptible cusps, Adhesion advantages and limitations, Resistance forms to be implemented, Esthetic concerns, and Subgingival management - the CARES concept. Now, in Part II, the focus is on clinical decisions for full-contour resistive crowns regarding their indications based on remaining tooth structure, materials, and different preparation designs as well as the particularities of vertical marginal preparations, perio-restorative considerations, and esthetic challenges.

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