Endodontik tedavi görmüş dişlerin konservatif restorasyonları

Aşırı madde kaybı olan endodontik tedavi görmüş arka grup dişlerin restorasyonunda kullanılacak restoratif materyalin ve restorasyon tekniğinin seçimi bu dişlerin kırılmaya karşı dayanıklılıklarını arttırmak için oldukça önemlidir. Kompozit rezin, bu tip dişlerin restorasyonunda amalgamdan daha fazla tercih edilen bir materyaldir. Kompozit rezinin günümüzde oldukça gelişmiş olan adeziv sistemlerle birlikte kullanımının diş dokusunu güçlendirici etkisinin bulunduğu bilinen bir gerçektir. Bunun yanı sıra endodontik tedavi görmüş dişlerin kırılmaya karşı dayanımlarını arttırmak amacıyla kök kanalına post yerleştirilmesi, tüberküllerin kaplanmasına olanak sağlayan onley restorasyonların uygulanması, kompozit materyali içerisine fiber ağ yerleştirilmesi veya bunların birlikte kullanımı gibi değişik restorasyon teknikleri kullanılabilir. Bu derlemede bu tekniklerin endodontik tedavi görmüş dişlerin kırılmaya karşı etkileri tartışılacaktır.

Anahtar Kelimeler:

Endodontik Olarak Tedavi Görmüş Dişler, Fiber Ağ, Fiber Post, Kaplama, Kompozit Restorasyon, Kırılma Direnci, Stres Dağılımı, Tüberkül Onley

Conservative restorations of endodontically-treated teeth

The choice of restorative material and restoration technique to be used in the restoration of endodontically treated posterior teeth is important to increase their stability against fracture. Composite resin is more preferred to amalgam for the restoration of such teeth. The use of composite resin with the modern adhesive systems is known to strengthen the remaining tooth structures. Furthermore, in order to strengthen the endodontically-treated tooth against fracture, restorative techniques such as placement of a post in the root canal, use of onlay restorations covering the tubercles, incorporating woven-fiber into composite material or combinations may be used. In this review, the effect of these techniques on the prevention of the fractures of endodontically-treated teeth is discussed.

Keywords:

Endodontically-Treated Tooth, Fiber Post, Cusp Capping, Fiber Woven, Composite Restoration, Fracture Resistance, Stress Distribution, Onlay,

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