Management of large class II lesions in molars: how to restore and when to perform surgical crown lengthening?

Ana Belén Dablanca-Blanco; Juan Blanco-Carrión; Benjamín Martín-Biedma; Purificación Varela-Patiño; Alba Bello-Castro; Pablo Castelo-Baz

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자료유형: 학술저널

저자정보: Ana Belén Dablanca-Blanco (University of Santiago de Compostela Facultad de Odontología) Juan Blanco-Carrión (University of Santiago de Compostela Facultad de Odontología) Benjamín Martín-Biedma (University of Santiago de Compostela Facultad de Odontología) Purificación Varela-Patiño (University of Santiago de Compostela Facultad de Odontología) Alba Bello-Castro (University of Santiago de Compostela Facultad de Odontología) Pablo Castelo-Baz (University of Santiago de Compostela Facultad de Odontología)

저널정보: 대한치과보존학회 Restorative Dentistry and Endodontics Restorative Dentistry and Endodontics 제42권 제3호

발행연도: 2017.8

수록면: 240 - 252 (13page)

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The restoration of endodontic tooth is always a challenge for the clinician, not only due to excessive loss of tooth structure but also invasion of the biological width due to large decayed lesions. In this paper, the 7 most common clinical scenarios in molars with class II lesions ever deeper were examined. This includes both the type of restoration (direct or indirect) and the management of the cavity margin, such as the need for deep margin elevation (DME) or crown lengthening. It is necessary to have the DME when the healthy tooth remnant is in the sulcus or at the epithelium level. For caries that reaches the connective tissue or the bone crest, crown lengthening is required. Endocrowns are a good treatment option in the endodontically treated tooth when the loss of structure is advanced.

#Dental restoration #Endodontically treated teeth #Caries #Periodontitis #Molar

참고문헌 (26)

참고문헌 신청

Padbury A Jr / 2003 / Interactions between the gingiva and the margin of restorations / J Clin Periodontol 30:379~385

Sedgley CM / 1992 / Are endodontically treated teeth more brittle? / J Endod 18:332~335

Fichera G / 2006 / Cavity configurations for indirect partial-coverage adhesive-cemented restorations / Quintessence Dent Technol 29:55~67

Veneziani M / 2010 / Adhesive restorations in the posterior area with subgingival cervical margins: new classification and differentiated treatment approach / Eur J Esthet Dent 5:50~76

Magne P / 2012 / Deep margin elevation: a paradigm shift / Am J Esthet Dent 2:86~96

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