根管治疗后牙体修复的治疗方案选择.pdfVIP

33 2 2015  4 华西口腔医学杂志 第 卷 第 期 年 月   West China Journal of Stomatology Vol.33 No.2 Apr. 2015 •115• [文章编号] 1000-1182(2015)02-0115-06 根管治疗后牙体修复的治疗方案选择 陈智 陈彬文 武汉大学口腔医院牙体牙髓病科，武汉 430079 [摘要] 冠部修复的质量是影响根管治疗后患牙预后的重要因素之一。如何根据患牙的具体情况选择最适合的修复 方式，一直以来存在争议。本文介绍了根管治疗后冠部修复的目的与时机，选择修复方式需考虑的因素及具体修复 方案的选择等，对近年来关于根管治疗后牙齿修复的研究进展进行分析，旨在为临床决策提供指导。 [关键词] 根管治疗后牙齿； 复合树脂修复； 嵌体； 高嵌体； 桩核冠修复； 全冠修复 [中图分类号] R 781.05 [文献标志码] A [doi] 10.7518/hxkq.2015.02.002 Decision-making of restorations for endodontically treated teeth Chen Zhi, Chen Binwen. (Dept. of Cariology and En- dodontics, School and Hospital of Stomatology, Wuhan University, Wuhan 430079, China) [Abstract] Coronal restoration of endodontically treated teeth may be viewed as one of the main parameters that influence the outcome of endodontic treatment. The purposes of restoring endodontically-treated teeth include preventing recontami- nation of the root canal system and periapical area, replacing the compromised dental hard tissue, restoring the coronal mor- phology and function, providing necessary strength for the restoration/tooth complex for functional stress, and avoiding crown and/or root fracture. This article reviewed recent researches on the restoration of endodontically treated teeth, provided evi- dence for clinical practice on topics as when to restore them, basic principles to be considered during treatment planning, and specific restoration options for both anterior and posterior teeth under different functional occulsal load conditions. Several issues should be taken into account during the d