Sevimli Gaye, Cengiz Seda, Oruc M Selcuk
Department of Prosthodontics, Faculty of Dentistry, Bulent Ecevit University, Turkey.
J Istanb Univ Fac Dent. 2015 Apr 29;49(2):57-63. doi: 10.17096/jiufd.71363. eCollection 2015.
The ideal restoration of endodontically treated teeth (ETT) has been widely and controversially discussed in the literature. Prevention of healthy dental structure is essential to help mechanical stabilization of tooth-restoration integrity, increase the amount of suitable surfaces for adhesion and thus positively affect the long-term success. ETT are affected by a higher risk of biomechanical failure than vital teeth. With the development of adhesive systems, the need for post-core restorations is also reduced. Especially for restoration of excessively damaged ETT, endocrowns have been used as an alternative to the conventional post-core and fixed partial dentures. Compared to conventional methods, good aesthetics, better mechanical performance, and less cost and clinic time are the advantages of endocrowns.
牙髓治疗牙齿(ETT)的理想修复在文献中已得到广泛且有争议的讨论。预防健康牙体结构对于帮助维持牙齿修复体完整性的机械稳定性、增加适合粘结的表面面积从而对长期成功产生积极影响至关重要。与活髓牙相比,ETT发生生物力学失败的风险更高。随着粘结系统的发展,对桩核修复的需求也有所减少。特别是对于过度损坏的ETT修复,全冠内修复体已被用作传统桩核和固定局部义齿的替代方法。与传统方法相比,全冠内修复体具有美观性好、机械性能更佳、成本更低和临床时间更短等优点。