弓间空间有限的患者在柱核技术上的进步

Reshu Madan, Shefali Phogat, K. Bhatia, P. Malhotra, Gauri Bhatia, J. Singh
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引用次数: 0

摘要

牙髓疾病严重破裂牙的成功治疗不仅取决于良好的牙髓治疗,还取决于根管治疗后牙齿的良好修复重建。通常,我们会遇到牙髓治疗的牙齿很少或没有临床冠。在这种情况下,在根管中准备一个桩位用于桩位的胶结,并在其上准备一个称为核的人工冠结构来支持固定的局部义齿。柱和核虽然现在普遍使用,但它们有自己的局限性。与这些系统相关的故障包括桩的固位丧失、根断裂甚至根穿孔。此外,在牙槽间隙有限的情况下放置牙柱对任何牙医来说都是一个挑战。在这些条件下,与传统技术相关的故障率会更高。本病例报告讨论了一种修复严重损坏的根管治疗牙齿的替代技术,该技术采用特殊设计的桩核附着体,为牙弓间隙有限的患者提供必要的阻力和固位形式。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A step ahead in post and core technique for patients with limited interarch space
The successful treatment of a badly broken down tooth with pulpal disease depends not only on a good endodontic therapy but also on a good prosthodontic reconstruction of the tooth following the root canal treatment. Often, we come across an endodontically treated tooth with little or no clinical crown. In such cases, a postspace is prepared into the canal for the cementation of post and an artificial crown structure called the core is prepared over it to support the fixed partial denture. Post and cores though commonly used now have their own limitations. Failures associated with these systems include the loss of retention of posts and fracture of roots or even root perforations. Moreover, placement of a post in situations with limited interarch space is a challenge for any dentist. The failure rate associated with the conventional techniques would be higher in these conditions. This case report discusses an alternative technique of restoration of a badly broken down endodontically treated tooth with a specially designed post and core attachment to provide the necessary resistance and retention form for the overlying prosthesis in patients with limited interarch space.
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