Endodontik tedavi görmüş dişlerin konservatif restorasyonları

Year 2013, Volume: 30 Issue: 1, 44 - 8, 11.03.2013

İhsan Yıkılgan Oya Bala

Abstract

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.

Keywords

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

Conservative restorations of endodontically-treated teeth

Abstract

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

References

• Gillen BM, Looney SW, Gu LS, Loushine BA, Weller RN, Loushine RJ, et al. Impact of the quality of coronal restoration versus the quality of root canal fillings on success of root canal treatment: a systematic review and meta-analysis. J Endod 2011;37:895-902.
• Kirkevang LL, Orstavik D, Horsted-Bindslev P, Wenzel A. Periapical status and quality of root fillings and coronal restorations in a Danish population. Int Endod J 2000;33:509-15.
• Tronstad L, Asbjornsen K, Doving L, Pedersen I, Eriksen HM. Influence of coronal restorations on the periapical health of endodontically treated teeth. Endod Dent Traumatol 2000;16:218-21.
• Andreasen JO, Andreasen FM. Textbook and color atlas of traumatic injuries to the teeth. Copenhagen: Munksgaard; 2007.
• Assif D, Gorfil C. Biomechanical considerations in restoring endodontically treated teeth. J Prosthet Dent 1994;71:565-7.
• Gonzalez-Lopez S, De Haro-Gasquet F, Vilchez-Diaz MA, Ceballos L, Bravo M. Effect of restorative procedures and occlusal loading on cuspal deflection. Oper Dent 2006; 31:33-8.
• Oskoee PA, Ajami AA, Navimipour EJ, Oskoee SS, Sadjadi J. The effect of three composite fiber insertion techniques on fracture resistance of root-filled teeth. J Endod 2009;35:413-6.
• Tikku AP, Chandra A, Bharti R. Are full cast crowns mandatory after endodontic treatment in posterior teeth? J Conserv Dent. 2010;13:246-8.
• Roberson TM, Heymann HO, Edward J, Swift JE. Sturdevant's Art & Science of Operative Dentistry, 5th edn. St. Louis: Mosby; 2010.
• Faria AC, Rodrigues RC, de Almeida Antunes RP, de Mattos Mda G, Ribeiro RF. Endodontically treated teeth: characteristics and considerations to restore them. J Prosthodont Res 2011;55:69-74.
• Ekstrand J, Nielsen JB, Havarinasab S, Zalups RK, Söderkvist P, Hultman P. Mercury toxicokinetics--dependency on strain and gender. Toxicol Appl Pharmacol. 2010;15:283-91.
• Monga P, Sharma V, Kumar S. Comparison of fracture resistance of endodontically treated teeth using different coronalrestorative materials: An in vitro study. J Conserv Dent 2009;12:154-9.
• Soares PV, Santos-Filho PC, Gomide HA, Araujo CA, Martins LR, Soares CJ. Influence of restorative technique on the biomechanical behavior of endodontically treated maxillary premolars. Part II: strain measurement and stress distribution. J Prosthet Dent 2008;99:114-22.
• Hansen EK. In vivo cusp fracture of endodontically treated premolars restored with MOD amalgam or MOD resin fillings. Dent Mater 1988;4:169-73.
• ElAyouti A, Serry MI, Geis-Gerstorfer J, Löst C. Influence of cusp coverage on the fracture resistance of premolars with endodontic Access cavities. Int Endod J 2011;44:543-9.
• Bitter K, Meyer-Lueckel H, Fotiadis N, Blunck U, Neumann K, Kielbassa AM, et al. Influence of endodontic treatment, post insertion, and ceramic restoration on the fracture resistance of maxillary premolars. Int Endod J 2010;43:469-77.
• Jiang W, Bo H, Yongchun G, LongXing N. Stress distribution in molars restored with inlays or onlays with or without endodontic treatment: a three dimensional finite element analysis. J Prosthet Dent 2010;103:6-12.
• Mondelli RF, Ishikiriama SK, de Oliveira Filho O, Mondelli J. Fracture resistance of weakened teeth restored with condensable resin with and without cusp coverage. J Appl Oral Sci 2009;17:161-5.
• Shafiei F, Memarpour M, Karimi F. Fracture resistance of cuspal coverage of endodontically treated maxillary premolars with combined composite-amalgam compared to other techniques. Oper Dent 2011;36:439-47.
• Mohammadi N, Kahnamoii MA, Yeganeh PK, Navimipour EJ. Effect of fiber post and cusp coverage on fracture resistance of endodontically treated maxillary premolars directly restored with composite resin. J Endod 2009;35:1428-32.
• Scotti N, Scansetti M, Rota R, Pera F, Pasqualini D, Berutti E. The effect of the post length and cusp coverage on the cycling and static load of endodonticallytreated maxillary premolars Clin Oral Investig 2010;15:923-9.
• Belli S, Cobankara FK, Eraslan O, Eskitascioglu G, Karbhari V. The effect of fiber insertion on fracture resistance of endodontically treated molars with MOD cavity and reattached fractured lingual cusps. J Biomed Mater Res B Appl Biomater 2006;79:35-41.
• Akman S, Akman M, Eskitascioglu G, Belli S. Influence of several fibre-reinforced composite restoration techniques on cusp movement and fracture strength of molar teeth. Int Endod J 2011;44:407-15.
• Belli S, Erdemir A, Ozcopur M, Eskitascioglu G. The effect of fibre insertion on fracture resistance of root filled molar teeth with MOD preparations restored with composite. Int Endod J 2005;38:73-80.
• Belli S, Erdemir A, Yildirim C. Reinforcement effect of polyethylene fibre in root-filled teeth: comparison of two restoration techniques. Int Endod J 2006;39:136-42.
• Cobankara FK, Unlu N, Cetin AR, Ozkan HB. The effect of different restoration techniques on the fracture resistance of endodontically-treated molars. Oper Dent 2008;33:526-33.
• Oskoee PA, Ajami AA, Navimipour EJ, Oskoee SS, Sadjadi J. The effect of three composite fiber insertion techniques on fracture resistance of root-filled teeth. J Endod 2009;35:413-6.
• Rodrigues FB, Paranhos MP, Spohr AM, Oshima HM, Carlini B, Burnett LH. Fracture resistance of root filled molar teeth restored with glass fibre bundles. Int Endod J 2010; 43: 356-62.
• Sengun A, Cobankara FK, Orucoglu H. Effect of a new restoration technique on fracture resistance of endodontically treated teeth. Dent Traumatol 2008;24:214-9.