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근관치료 후 코어수복

Considerations in the post-endodontic restoration

대한치과의사협회지 2021년 59권 9호 p.516 ~ 523
장지현,
소속 상세정보
장지현 ( Jang Ji-Hyun ) - Kyung Hee University School of Dentistry Department of Conservative Dentistry

Abstract


It had been a common belief that the primary cause of failure of endodontically treated teeth depends on the quality of the root canal treatment. Disinfection of root canals via cleaning and shaping is the most important to resolve the periapical lesion, however, following coronal restoration of endodontically treated teeth is also considerably significant to rehabilitate the teeth, and to prevent the re-infection of root canal system. In the clinical situation, the importance of post-endodontic restoration including the removal of residual caries and unfavorable previous restoration, and following adequately performed dentin adhesion and core restoration seems to be passed over because it did not show the immediate complications of postoperative hypersensitivity. A post-endodontic coronal restoration aims to prevent micro-leakage and subsequent bacterial ingress and contamination of the root canal complex. Thus, the choice of materials and methods, and the quality for post-endodontic restoration may influence the durability and prognosis of the teeth. In this article, the various considerations in the management of post-endodontic restoration and recent advance in restorative materials will be reviewed.

키워드

Bulk-fill composite resin; Core restoration; Dentin adhesive; Incompatibility; Post-endodontic restoration

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