Waggoner William F
Dentist in private practice, Las Vegas, Nev., USA.
Pediatr Dent. 2015 Mar-Apr;37(2):163-70.
The purpose of this paper was to review the current literature associated with the techniques and materials for the restoration of primary anterior teeth and make clinical recommendations based upon the available literature. A variety of esthetic restorative materials are available to utilize for restoring primary incisors. Awareness of the specific strengths, weakness, and properties of each material can enhance the clinician's ability to make the best choice of selection for each individual situation. Intracoronal restorations of primary teeth may utilize resin composites, glass ionomer cements, resin-modified ionomers, or polyacid-modified resins. Full coronal restoration of primary incisors may be indicated for a number of reasons. Crowns available for restoration of primary incisors include those that are directly bonded onto the tooth, which generally are a resin material, and crowns that are luted onto the tooth and are either some type of stainless steel or zirconia crown. There is insufficient controlled, clinical data to suggest that one type of restoration is superior to another. Operator preferences, esthetic demands by parents, the child's behavior, the amount of tooth structure remaining, and moisture and hemorrhage control are all variables that affect the decision and ultimate outcome of whatever restorative solution is chosen.
本文的目的是回顾与乳前牙修复技术和材料相关的当前文献，并根据现有文献提出临床建议。有多种美学修复材料可用于修复乳切牙。了解每种材料的具体优点、缺点和特性，可以提高临床医生针对每种具体情况做出最佳选择的能力。乳牙的冠内修复可使用树脂复合材料、玻璃离子水门汀、树脂改性离子水门汀或聚酸改性树脂。乳切牙进行全冠修复可能有多种原因。可用于修复乳切牙的冠包括直接粘结在牙齿上的冠（通常是树脂材料）以及粘结在牙齿上的冠，后者可以是某种类型的不锈钢冠或氧化锆冠。目前尚无足够的对照临床数据表明一种修复类型优于另一种。操作者的偏好、家长的美学要求、孩子的行为、剩余牙体组织的量以及湿度和出血控制都是影响所选择的任何修复解决方案的决策和最终结果的变量。
