根据覆盖率、附着力、抵抗力、美学和龈下管理制定的后修复临床指南。

Pub Date : 2024-01-29
Jorge André Cardoso, Pasquale Venuti, Nuno Sousa Dias, João Vinha Oliveira, Joel Bastos, Ricardo Henriques
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引用次数: 0

摘要

尽管在后牙修复方面取得了明显的进步,尤其是微创方法,但仍有一些课题现有的科学证据并不能为临床决策提供明确的答案。本系列文章的第一部分和第二部分介绍了部分粘接修复体(嵌体、覆盖体和内冠)和阻力形式修复体(全轮廓阻力冠)的适应症、区别和临床方案,分别基于易感染尖牙的覆盖面、粘接的优势和局限性、应采用的阻力形式、美学问题和龈下管理--CARES 概念。现在,第三部分的重点是龈下管理的不同方法、"套圈 "设计的获得以及桩柱在严重受损牙修复策略中的作用。
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Clinical guidelines for posterior restorations based on Coverage, Adhesion, Resistance, Esthetics, and Subgingival management. The CARES concept: Part III – subgingival margins, “ferrule” design, and posts in severely compromised teeth

Despite the clear advances regarding the restoration of posterior teeth, especially with the minimally invasive approach, there are still several topics where the available scientific evidence does not provide clear answers in terms of clinical decisions. The indications, differences, and clinical protocols for partial adhesive restorations (onlays, overlays, and endocrowns) and resistance form restorations (full-contour resistive crowns) were presented in Parts I and II of the present article series based on Coverage of susceptible cusps, Adhesion advantages and limitations, Resistance forms to be implemented, Esthetic concerns, and Subgingival management - the CARES concept. Now, in Part III, the focus is on different approaches of managing subgingival areas, gaining "ferrule" design, and the role of posts on the restorability strategies of severely compromised teeth.

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