Göstemeyer Gerd, Schwendicke Falk, Blunck Uwe
Monogr Oral Sci. 2018;27:42-55. doi: 10.1159/000487831. Epub 2018 May 24.
Restoring carious lesions can be challenging, especially for deep lesions in proximity to the pulp. A number of factors can influence restoration longevity. This chapter will discuss aspects that should be considered when restoring carious lesions. In the first part, factors that might have an effect on the pulp such as preparation trauma, tooth hypersensitivity, and the use of liners will be described. In the second part, the challenges and limitations of adhesive bonding to (sound and carious) dentine will be discussed. Lastly, recommendations on the suitability of different bonding techniques and restorative materials in different situations will be given.
修复龋损可能具有挑战性,尤其是对于接近牙髓的深龋损。许多因素会影响修复体的使用寿命。本章将讨论修复龋损时应考虑的各个方面。第一部分将描述可能对牙髓产生影响的因素,如预备创伤、牙齿敏感以及衬层的使用。第二部分将讨论粘结剂粘结(健康和龋坏)牙本质的挑战和局限性。最后,将给出关于不同粘结技术和修复材料在不同情况下适用性的建议。