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生物力学如何影响经牙髓治疗的牙齿及其修复程序?

How biomechanics can affect the endodontic treated teeth and their restorative procedures?

作者信息

Soares Carlos José, Rodrigues Monise de Paula, Faria-E-Silva André Luis, Santos-Filho Paulo Cesar Freitas, Veríssimo Crisnicaw, Kim Hyeon-Cheol, Versluis Antheunis

机构信息

Universidade Federal de Uberlândia - UFU, Dental School, Department of Operative Dentistry and Dental Materials, Uberlândia, MG, Brazil.

Universidade Federal de Sergipe, Dental School, Department of Dentistry, Aracajú, SE, Brazil.

出版信息

Braz Oral Res. 2018 Oct 18;32(suppl 1):e76. doi: 10.1590/1807-3107bor-2018.vol32.0076.

Abstract

Endodontic treatment is a common dental procedure used for treating teeth which the pulp tissue has become irreversibly inflamed or necrotic as a result of the carious process or dental trauma. This procedure which involves mechanical and chemical preparation of root canal may affect several mechanical and physical properties of the tooth structure. The endodontic treatment can also influence the longevity of the rehabilitation of endodontically treated teeth and biomechanics during the oral function. For restoring endodontically treated teeth several factor and clinical decisions should be observed. The decision of the fiberglass post usage and the restorative materials are related to several factors such as the quantity and quality of remaining dental structure, presence of ferrule, post cementation length and final coronal restoration. In this review, the authors will address the effect of the endodontic treatment procedures on canal shape and mechanical properties of a tooth, and also discuss the parameters and the biomechanical principles of root canal treated teeth.

摘要

牙髓治疗是一种常见的牙科治疗方法,用于治疗因龋病过程或牙外伤导致牙髓组织发生不可逆炎症或坏死的牙齿。该治疗过程涉及根管的机械和化学预备,可能会影响牙齿结构的多种机械和物理性能。牙髓治疗还会影响牙髓治疗后牙齿修复的寿命以及口腔功能期间的生物力学。为了修复牙髓治疗后的牙齿,应考虑几个因素并做出临床决策。玻璃纤维桩的使用决策和修复材料与多个因素相关,如剩余牙体结构的数量和质量、箍的存在、桩黏固长度和最终的冠修复。在本综述中,作者将阐述牙髓治疗程序对根管形态和牙齿机械性能的影响,并讨论根管治疗后牙齿的参数和生物力学原理。

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