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牙内冠修复——修复领域的范式转变:两例病例报告

Endocrown - A Paradigm Shift in Rehabilitation: A Report of Two Cases.

作者信息

Gupta Rahul, Thakur Sophia, Pandey Nitish Kumar, Roopa B, Fares K T

机构信息

Department of Conservative Dentistry and Endodontics, Bapuji Dental College and Hospital, Davangere, Karnataka, India.

出版信息

Contemp Clin Dent. 2021 Apr-Jun;12(2):195-198. doi: 10.4103/ccd.ccd_557_20. Epub 2021 Jun 14.

Abstract

Along with the advent of dentistry, the ideal restoration of an endodontically treated tooth has been a widely discussed and controversial topic. Coronal rehabilitation of an endodontically treated tooth is quite a challenge for clinicians as considerations should be taken for its minimally invasive preparation and the retention and stability of the restoration. With the development of adhesive systems, the need for intraradicular anchorage and thus the post-core system is greatly reduced. Endocrown is a restorative option for an endodontically treated tooth, and it serves as a suitable alternative to the conventional post-core restoration and full-coverage restoration. This novel approach promotes the stability and retention of the indirect restoration without the need of a cast metal core or reconstruction with intracanal post, thereby reducing the treatment time. Thus, endocrown has become a promising alternative in the esthetic and functional rehabilitation of an endodontically treated tooth.

摘要

随着牙科技术的出现,根管治疗后牙齿的理想修复一直是一个广泛讨论且颇具争议的话题。对于临床医生来说,根管治疗后牙齿的冠部修复颇具挑战,因为需要考虑其微创预备以及修复体的固位和稳定性。随着粘结系统的发展,根管内固位的需求以及因此对桩核系统的需求大幅减少。全冠内修复体是根管治疗后牙齿的一种修复选择,它是传统桩核修复和全冠修复的合适替代方案。这种新方法无需铸造金属核或根管内桩进行重建,即可提高间接修复体的稳定性和固位力,从而缩短治疗时间。因此,全冠内修复体已成为根管治疗后牙齿美学和功能修复中一种很有前景的替代方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3959/8237820/fa3bd2a40bab/CCD-12-195-g001.jpg

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