趋势及应用 23 www.dentistx.com 结论 本文让牙医更好地理解了 关于根管治疗后的牙齿修复。已 非常清楚地表明大多数磨牙可能 不需要植桩,这样可降低植桩本 身所具有的和因植桩带来的额外 牙体组织缺失的风险,还为病人 节约了额外的治疗费用。这款声 波激活的、高充填性能的复合树 脂技术在提供良好适应性和强度 的同时,还进一步提什了堆塑核 体的速度和效率。 参考文献 1. Colman HL. Restoration of endodontically treated teeth. Dent Clin North Am. 1979;23:647-662. 2. Papa J, Cain C, Messer HH. Moisture content of vital vs endodonti- cally treated teeth. Endod Dent Trauma- tol. 1994;10:91-93. 3. Sedgley CM, Messer HH. Are endodontically treated teeth more brittle? J Endod. 1992;18:332-335. 4. Ho MH, Lee SY, Chen HH, et al. Three-dimensional finite element analysis of the effects of posts on stress distribution in dentin. J Prosthet Dent. 1994;72:367-372. 5. Trope M, Maltz DO, Tronstad L. Resistance to fracture of restored endodontically treated teeth. Endod Dent Traumatol. 1985;1:108-111. 6. Sorensen JA, Martinoff JT. Intracoronal reinforcement and coro- nal coverage: a study of endodonti- cally treated teeth. J Prosthet Dent. 1984;51:780-784. 7. Fuss Z, Lustig J, Katz A, et al. An evaluation of endodontically treated vertical root fractured teeth: impact of operative procedures. J Endod. 2001;27:46-48. 8. Ross IF. Fracture susceptibility of endodontically treated teeth. J Endod. 1980;6:560-565. 9. Reeh ES, Douglas WH, Messer HH. Stiffness of endodontically-treated teeth related to restoration technique. J Dent Res. 1989;68:1540-1544. 10. Reeh ES, Messer HH, Douglas WH. Reduction in tooth stiffness as a result of endodontic and restorative pro- cedures. J Endod. 1989;15:512-516. 11. Bergman B, Lundquist P, Sjögren U, et al. Restorative and end- odontic results after treatment with cast posts and cores. J Prosthet Dent. 1989;61:10-15. 12. Mentink AG, Meeuwissen R, Käyser AF, et al. Survival rate and failure characteristics of the all metal post and core restoration. J Oral Rehabil. 1993;20:455-461. 13. Hunter AJ, Feiglin B, Wil- liams JF. Effects of post placement on endodontically treated teeth. J Prosthet Dent. 1989;62:166-172. 14. Cheung W. A review of the management of endodontically treated teeth. Post, core and the final restoration. J Am Dent Assoc. 2005;136:611-619. 15. Massa F, Dias C, Blos CE. Re- sistance to fracture of mandibular premo- larsrestoredusingpost-and-coresystems. Quintessence Int. 2010;41:49-57. 16. Sorensen JA, Engelman MJ. Ferrule design and fracture resistance of endodontically treated teeth. J Prosthet Dent. 1990;63:529-536. 17. Hempton TJ, Dominici JT. Contemporary crown-lengthening therapy: a review. J Am Dent Assoc. 2010;141:647-655. 18. Ma PS, Nicholls JI, Junge T, et al. Load fatigue of teeth with dif- ferent ferrule lengths, restored with fiber posts, composite resin cores, and all-ceramic crowns. J Prosthet Dent. 2009;102:229-234. 19. Thompson J. Laboratory Re- search Report: Evaluation of SonicFill Composite. Fort Lauderdale, FL: Nova Southeastern University; October 2010. 20. Yapp R, Powers JM. Depth of cure of several composite restorative materials. Dent Advis Res Report. 2011;33:1. 21. Christensen GJ. Advantages and Challenges of Bulk-Fill Resin. CLI- NICIANS REPORT. 2012;5:1-2. Jackson博士于1972年毕业 于西弗吉尼亚大学牙医学院。他 是美国美容牙科学院注册会员, AGD注册会员,美国美容牙科学 院专科医师,同时是MDACA(粘 结剂和树脂相关)项目的负责人。 他在米德尔堡做全口修复和美容修 复的职业牙医师。他也发表了很多 关于美学和粘接的文章,并在各地 演讲。可以通过邮箱联系他本人: ron@ronjacksondds.com. 作者信息 图10:注意SonicFill堆的核体与该病 人的第一磨牙中低粘度复合树脂的核 体,在适应性、密度、射线阻透性方 面的差异比较。 图9:颊侧视图显示核体提供的额外制备高度。图8:最终制备好的牙合面视图。图7:不粘器械的、具有压实感的声波激活复合树脂非 常容易雕塑形态。 图6:第二个5mm高的树脂从激活的尖端注入腔洞。 图5:大圆头的器械用来填压材料使边缘融合。图4:粘结剂固化后,启动前将SonicFill尖端放置于洞 底部。高频振动使材料液化并能被挤出,不再需要低 粘度流体树脂垫底。 图3: 测量牙齿轴壁从髓室底到顶部的深度为7.0mm。 上部有约2.0mm的冠向圆周包绕。 图2: 下颌第二磨牙根管治疗后的术前视图。