The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) & Key Laboratory of Oral Biomedicine Ministry of Education & Dept. of Prosthodontics, Hospital of Stomatology, Wuhan University, Wuhan 430079, China.
The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) & Key Laboratory of Oral Biomedicine Ministry of Education & Dept. of Geriatric Dentistry, Hospital of Stomatology, Wuhan University, Wuhan 430079, China.
Hua Xi Kou Qiang Yi Xue Za Zhi. 2023 Jun 1;41(3):247-253. doi: 10.7518/hxkq.2023.2023030.
Post-and-core crown is one of the most common forms of restoration of tooth after root canal therapy (RCT). Infection control is the core objective of RCT, which is usually well realized by endodontists. However, many prosthodontists often neglect the infection control of the tooth and the maintenance of the curative effect of RCT during the process of post-and-core crown, which may lead to the failure of the final restoration. The concept of integrated crown-root treatment advocated recently requires clinicians to consider the RCT and final restoration as a whole, rather than simply divided into two parts-endodontic treatment and restorative treatment. As the core content of integrated crown-root treatment, infection control should be taken seriously by clinicians and implemented throughout the whole treatment process, especially in the restorative treatment that is easily overlooked after RCT. Therefore, this article describes the infection control of post-and-core crown restoration, classifies the tooth requiring post-and-core crown restoration, and puts forward the measures of infection control before and during post-and-core crown restoration, in order to provide reference and guidance for clinical practice.
桩核冠是根管治疗(RCT)后最常见的牙齿修复形式之一。感染控制是 RCT 的核心目标,通常由牙髓病医生很好地实现。然而,许多修复医生在进行桩核冠修复的过程中,往往忽视了对牙齿的感染控制和 RCT 疗效的维护,这可能导致最终修复的失败。最近提倡的综合冠根治疗理念要求临床医生将 RCT 和最终修复视为一个整体,而不是简单地分为牙髓治疗和修复治疗两部分。作为综合冠根治疗的核心内容,感染控制应引起临床医生的重视,并贯穿整个治疗过程,特别是在 RCT 后容易被忽视的修复治疗中。因此,本文介绍了桩核冠修复的感染控制,对需要桩核冠修复的牙齿进行分类,并提出了在桩核冠修复前后感染控制的措施,以期为临床实践提供参考和指导。