保守去除纤维增强复合树脂桩的牙髓治疗指南

Endodontic guide for the conservative removal of a fiber-reinforced composite resin post.

作者信息

Maia Lucas Moreira, Bambirra Júnior Wilson, Toubes Kênia Maria, Moreira Júnior Gil, de Carvalho Machado Vinicius, Parpinelli Bruno César, Ribeiro Sobrinho Antônio Paulino

机构信息

Professor, Dentistry Course of University of Pitágoras (Pitagoras), Betim, Minas Gerais, Brazil; Doctoral student, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil.

Doctoral student, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil.

出版信息

J Prosthet Dent. 2022 Jul;128(1):4-7. doi: 10.1016/j.prosdent.2020.11.044. Epub 2021 Feb 25.

DOI:10.1016/j.prosdent.2020.11.044

PMID:33640086

Abstract

Prosthetic dentistry involves functional and esthetic restoration. Some situations require the use of fiber-reinforced composite resin posts that help preserve restorations. However, if the initial treatment fails, a new endodontic intervention may be required for fiber-reinforced composite resin post removal. This procedure can be complex and challenging but can be facilitated with guided endodontics. This clinical report describes the use of a prototyped guide created with virtual planning for fiber-reinforced composite resin post removal. The guide improved patient safety, shortened the treatment time, and eliminated the need for a new restoration.

摘要

口腔修复学涉及功能和美学修复。某些情况下需要使用纤维增强复合树脂桩，以帮助保留修复体。然而，如果初始治疗失败，可能需要进行新的牙髓治疗干预以去除纤维增强复合树脂桩。此过程可能复杂且具有挑战性，但借助引导性牙髓治疗可更为顺利。本临床报告描述了使用通过虚拟规划创建的原型导向器去除纤维增强复合树脂桩的情况。该导向器提高了患者安全性，缩短了治疗时间，并且无需进行新的修复。