Minimally invasive repair after root canal therapy: high inlay
Teeth after root canal treatment choice repair method is to consider both functional and beautiful, periodontal health, life, etc. At the same time also to consider as far as possible to retain more healthy teeth body tissue, today the bonding technology is very mature. Minimally invasive repair method - inlay, high inlay, we should be sure, but also dare to try.
Any kind of repair method is not perfect, do not enlarge its shortcomings, but to see more of its advantages, strict control of indications can achieve the desired results.Can be seen from several aspects of the inlay, high inlay:
1.Tooth preparation: inlay, inlay tooth preparation is relatively simple, to avoid the inverted concave
2.Impression：Because the edge is easy to take out the model, so effect is more clear and accurate.
3.Fitness: the model is precise, the repair experience is more closely fit
4.Edge: it can be very good to check the edge of the tight fit, after the cementation highly polished edges
5.Periodontal: gingival margin, reduce the risk of invasion of biological width, can predict a good long-term effect.
6.Minimally invasive: to maximize the retention of healthy dental tissue, reflecting the concept of minimally invasive
After root canal treatment high inlay clinical operation flow:
Open pulp removing and filling body
Root canal therapy
Temporary closure observation 5-7 days
Complete removal of the filling body
Etch enamel essence
Strong suction acid etching agent
Water gas impulse remaining acid etching agent
Strong suction drain
Dual cure resin binder for root canal injection
Fixed fiber post and light curing
Close other root canal
Preparation of tooth surface of green - scaled conical
Enamel chisel to flash
Red standard flat - head conical emery
After the rubber barrier and then polishing tooth
Separated adjacent surface etching
Strong absorption and corrosion inhibitor
Water rushed the remaining etching agent
Strong suction drain
Grinding the edges
First step polishing
Second step polishing
Third step polishing
High inlay after the X-ray film
High inlay cases.
On the inlay, inlay repair proposed several issues to discuss:
1, How to choose a reasonable choice of materials
2, Whether to use the fiber pile, such as how to choose the root canal of fiber pile
3, The need to cover the occlusal surface or not
4, Whether the need for intramedullary fixation
Inlay, high inlay truly embodies the principle of minimally invasive!
This article turned from the mouth of the Beijing blog blog, Zhao Tingwang, the original author of the copyright, thanks to the original author to share!
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