Ree Marga, Schwartz Richard S
University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Dent Clin North Am. 2010 Apr;54(2):345-74. doi: 10.1016/j.cden.2009.12.005.
Successful endodontic treatment depends on the restorative treatment that follows. The connection between endodontic treatment and restorative dentistry is well accepted, but the best restorative approaches for endodontically treated teeth have always been somewhat controversial. A plethora of information from various sources contributes to the controversy and much of it is contradictory. With the emergence of implants in mainstream dentistry, there has been more emphasis on long-term outcomes and on evaluating the "restorability" of teeth prior to endodontic treatment. The long-term viability of endodontically treated teeth is no longer a "given" in the implant era. In consequence, some teeth that might have received endodontic treatment in the past are now extracted and replaced with implant-supported prostheses if they are marginally restorable or it makes more sense in the overall treatment plan. As it is not possible to review here all the literature on the restoration of endodontically treated teeth, this article focuses primarily on current concepts based on the literature from the past 10 years or so, and provides treatment guidelines based on that research.
成功的牙髓治疗取决于后续的修复治疗。牙髓治疗与修复牙科之间的联系已被广泛认可，但针对牙髓治疗后的牙齿，最佳的修复方法一直存在一定争议。来自各种来源的大量信息加剧了这一争议，其中许多信息相互矛盾。随着种植牙在主流牙科领域的出现，人们更加注重长期效果，并在牙髓治疗前评估牙齿的“可修复性”。在种植牙时代，牙髓治疗后牙齿的长期生存能力已不再是理所当然的。因此，一些过去可能接受过牙髓治疗的牙齿，如果其修复性较差或者在整体治疗计划中更合理，现在会被拔除并用种植体支持的假体替代。由于无法在此回顾所有关于牙髓治疗后牙齿修复的文献，本文主要关注基于过去十年左右文献的当前概念，并根据该研究提供治疗指南。
