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根管治疗后的修复:瑞士牙医的一项调查。

Postendodontic restoration: a survey among dentists in Switzerland.

作者信息

Kon Magdalena, Zitzmann Nicola U, Weiger Roland, Krastl Gabriel

机构信息

Clinic for Periodontology, Endodontology and Cariology, University of Basel, Switzerland.

出版信息

Schweiz Monatsschr Zahnmed. 2013;123(12):1076-88.

Abstract

The purpose of this study was to evaluate the present opinions and the knowledge of Swiss general dentists about current strategies to restore endodontically treated teeth. Between 2009 and 2011, a 17-item questionnaire was given to 95 general dentists at the beginning of continuing education courses related to this topic. The majority of dentists indicated that they restore more than 30 endodontically treated teeth per year. The decision for placing an intracanal post was mainly based on the amount of remaining tooth substance and the type of tooth (anterior tooth, premolar, molar, or abutment for fixed dental prostheses). Most respondents strove for a retention depth of at least two-thirds of the root length and a form-congruent fit between post and post space preparation. In terms of post type, metallic posts were predominantely used, while an increasing application of glass-fiber posts was registered. Regardless of the type of post, composite cements were the most commonly used luting materials. The prevailing strategies for the restoration of endodontically treated teeth are in part in accordance with the current literature. Disagreements with the literature are related to the post length, the desired post fit and the fact that metal screw posts are apparently still in use.

摘要

本研究的目的是评估瑞士普通牙医对目前根管治疗后牙齿修复策略的看法和了解程度。在2009年至2011年期间,在与该主题相关的继续教育课程开始时,向95名普通牙医发放了一份包含17个条目的问卷。大多数牙医表示,他们每年修复超过30颗根管治疗后的牙齿。决定放置根管内桩主要基于剩余牙体组织的量和牙齿类型(前牙、前磨牙、磨牙或固定义齿基牙)。大多数受访者力求桩的保留深度至少为牙根长度的三分之二,并且桩与桩道预备之间形状贴合。在桩的类型方面,主要使用金属桩,同时玻璃纤维桩的应用也在增加。无论桩的类型如何,复合树脂水门汀是最常用的粘结材料。根管治疗后牙齿修复的主流策略部分与当前文献一致。与文献的分歧涉及桩的长度、理想的桩贴合度以及金属螺纹桩显然仍在使用这一事实。

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