PDF(Pubmed)
Abstract：
The restoration of endodontically treated teeth (ETT) remains a significant challenge in modern dentistry. These teeth often suffer from substantial structural damage due to both the original pathology and the invasive nature of endodontic procedures. Consequently, ETT are more susceptible to fractures compared to vital teeth, necessitating restorative strategies that can effectively restore both function and aesthetics while minimizing the risk of failure. In recent years, advances in adhesive dentistry and the development of high-strength ceramics have further expanded the restorative options for ETT. Bonded restorations have gained popularity as they preserve more tooth structure and enhance the overall strenght of the tooth-restoration complex. The choice of restorative material and technique is influenced by numerous factors, including the amount of remaining tooth structure, the functional requirements of the tooth, and the aesthetic demands of the patient. Despite the plethora of available materials and techniques, the optimal approach to restoring ETT remains a topic of ongoing research and debate. In this comprehensive review, the current state of and recent advances in restoring damaged endodontically treated teeth are explored. Numerous therapeutic options exist, involving a wide range of materials. This article aims to present the biomaterial advancements of the past decade and their applications, offering alternative approaches to treating damaged ETT with the goal of prolonging their retention on the dental arch and serving as a valuable resource for dental practitioners who face this issue daily.
摘要：
牙髓治疗牙齿的修复（ETT）仍然是现代牙科的重大挑战。由于牙髓手术的原始病理学和侵入性，这些牙齿通常会遭受严重的结构损伤。因此,与活牙相比，ETT更容易骨折，需要恢复性策略，可以有效地恢复功能和美学，同时最大程度地减少失败的风险。近年来,粘合剂牙科的进步和高强度陶瓷的发展进一步扩大了ETT的修复选择。由于结合修复体保留了更多的牙齿结构并增强了牙齿修复体的整体强度，因此受到了欢迎。修复材料和技术的选择受多种因素的影响，包括剩余牙齿结构的数量，牙齿的功能要求，和病人的审美要求。尽管有大量可用的材料和技术，恢复ETT的最佳方法仍然是一个正在进行的研究和辩论的话题。在这次全面审查中，探讨了修复经牙髓治疗的受损牙齿的现状和最新进展。存在许多治疗选择，涉及广泛的材料。本文旨在介绍过去十年的生物材料进展及其应用，提供治疗受损ETT的替代方法，目的是延长其在牙弓上的保留时间，并为每天面临此问题的牙科医生提供宝贵的资源。
