Taha Nessrin A, Messer Harold H
Department of Conservative Dentistry, Jordan University of Science and Technology, Jordan.
Prim Dent J. 2016 May 1;5(2):29-35. doi: 10.1308/205016816819304178.
Root-filled teeth are weakened by loss of strategic tooth structure through restorative procedures and caries, rather than by the endodontic procedures. Therefore, prompt restoration is required to minimise coronal leakage and the risk of tooth fracture. However, restorability should be confirmed before root canal treatment begins, by removing caries and existing restoration to evaluate the residual tooth structure. Based on the remaining tooth structure, the restoration is planned to maximise the longevity of root-filled teeth as a functional unit. This review considers risk factors for survival of root-filled teeth and principles of restoration, rather than detailed techniques, including direct and indirect restorations.
根管充填后的牙齿因修复治疗和龋齿导致关键牙体结构丧失而变脆弱,而非因根管治疗本身。因此,需要及时修复以尽量减少冠部微渗漏和牙齿折裂风险。然而,在根管治疗开始前,应通过去除龋齿和现有修复体来评估剩余牙体结构,以确认牙齿的可修复性。根据剩余牙体结构来规划修复方案,以使根管充填后的牙齿作为一个功能单位具有最长的使用寿命。本综述探讨根管充填后牙齿留存的风险因素及修复原则,而非包括直接和间接修复在内的具体技术。