牙髓锥度与牙齿抗折能力的关系

Verica Toneva Stojmenova, L. Popovska, V. Kokalanov
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引用次数: 0

摘要

完整牙的咀嚼压力分布从牙冠开始,经过牙根本质,最终到达牙周韧带。牙髓治疗程序是牙髓组织因龋齿、牙病或外伤而不可逆转受损时所必需的牙科程序。当牙齿结构变弱时,有可能出现牙冠或牙根断裂。牙根垂直断裂是牙髓治疗后拔牙的第三大常见原因。当牙科手术的所有步骤都完成时,牙髓治疗就是成功的。本研究的目的是评估根管器械的低锥度是否降低了牙齿断裂的可能性,增加了牙齿抗断率。为了完成本研究的目的,共分析了84份调查问卷,其中42份用于详细分析。电子研究采用Pub Med (Medline)、Embase、Medscape、Web of Science和Cochrane Library等数据库。本研究基于已发表的英文文章,报道了不同锥度强度在根管治疗中的应用及其对牙齿抗折性的影响。其他纳入标准,如文章的日期参数,从2000年到2022年设定。本文综述的研究内容包括体外研究和有限元分析。一些研究结果表明,根管治疗后牙齿的抗折能力取决于牙体结构的数量。在许多回顾的研究中,骨折的评估水平,已经发现,在牙髓治疗中,与其他牙髓治疗中,高锥度的牙齿组相比,在牙髓治疗中有明显的降低。此外,FEA方法已成功地用于牙髓学,在那里它已被证明与体外研究方法
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RELATIONSHIP BETWEEN ENDODONTIC TAPER AND FRACTURE RESISTANCE OF TOOTH
The distribution of chewing pressure in intact tooth is from crown, across the root dentin and ends in periodontal ligament. Endodontic treatment procedure is dental procedure that is necessary when the pulp tissue is irreversible damaged, because of dental caries, dental disease or traumatic injury. When the dental structure is weakened, there is a possibility of crown or root fracture. The root vertical fracture is the third most common reason for tooth extraction in endodontic treated tooth. Endodontic procedure is successful when all the steps of dental procedure is completed. The objective of this study was to estimate whether the low taper of endodontic instrument decreases the possibility of tooth fracture and increase the percentage of tooth fracture resistance. To complete the aim of this study, were analyzed total number of 84 surveys, 42 of them were used for detail analysis. The electronic research was done using the databases as: Pub Med (Medline), Embase, Medscape, Web of Science and Cochrane Library. This study is based on review on published articles written in English language, reporting results related to the use of different intensity of conicity in endodontic treatment and the influence to tooth fracture resistance. Other inclusion criteria as date parameter of the articles was set from 2000 until 2022. The research examined in this review is of in vitro studies and FEA analysis. Some results of this research have shown that fracture resistance in endodontic treated tooth depends of quantity of dental structure. In many reviewed studies the evaluated levels of fracture, have been found to be significantly lover in groups of teeth that are endodontic treated with lover conicity, compared with the other groups of teeth that are endodontic treated with high percentage of conicity. Also, The FEA method has been successfully used in endodontics, where it has proven with the in vitro methods of study
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