华西口腔医学杂志

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根管治疗后牙体修复的治疗方案选择

陈智 陈彬文   

  1. 武汉大学口腔医院牙体牙髓病科,武汉 430079
  • 收稿日期:2014-06-30 修回日期:2014-12-21 出版日期:2015-04-01 发布日期:2015-04-01
  • 通讯作者: 陈智,教授,博士,E-mail:zhichen@whu.edu.cn
  • 作者简介:陈智,教授,博士,E-mail:zhichen@whu.edu.cn
  • 基金资助:

    湖北省科技支撑计划基金资助项目(2013BCB025)

Decision-making of restorations for endodontically treated teeth

Chen Zhi, Chen Binwen.   

  1. Dept. of Cariology and Endodontics, School and Hospital of Stomatology, Wuhan University, Wuhan 430079, China
  • Received:2014-06-30 Revised:2014-12-21 Online:2015-04-01 Published:2015-04-01

摘要:

冠部修复的质量是影响根管治疗后患牙预后的重要因素之一。如何根据患牙的具体情况选择最适合的修复方式,一直以来存在争议。本文介绍了根管治疗后冠部修复的目的与时机,选择修复方式需考虑的因素及具体修复方案的选择等,对近年来关于根管治疗后牙齿修复的研究进展进行分析,旨在为临床决策提供指导。

关键词: 根管治疗后牙齿, 复合树脂修复, 嵌体, 高嵌体, 桩核冠修复, 全冠修复

Abstract:

Coronal restoration of endodontically treated teeth may be viewed as one of the main parameters that influence the outcome of endodontic treatment. The purposes of restoring endodontically-treated teeth include preventing recontamination of the root canal system and periapical area, replacing the compromised dental hard tissue, restoring the coronal morphology and function, providing necessary strength for the restoration/tooth complex for functional stress, and avoiding crown and/or root fracture. This article reviewed recent researches on the restoration of endodontically treated teeth, provided evidence for clinical practice on topics as when to restore them, basic principles to be considered during treatment planning, and specific restoration options for both anterior and posterior teeth under different functional occulsal load conditions. Several issues should be taken into account during the decision making process, such as remaining tooth tissue, functional masticatory forces, comprehensive oral rehabilitation, and esthetic requirements.

Key words: endodontically treated teeth, composite resin restoration, inlay, onlay, post and core restoration, crown restoration