《纤维桩技术及其在临床的应用》专题讲稿上.ppt

* * * Good evening, thank you all for coming today. My name is Yusuke Fujimura and I’m pleased to inform you about our new product. * * The Color-on-command technology renders the post translucent when placed in the tooth, and we hope that we never see it again. IF the post must be removed, cold water spray directly on the imbedded post will cause it to re-appear, making it eadire to identify its size , location and to determine when all of the fibers have been removed. * 牙冠缺损全冠修复固位不良 “肩领效应”可以有效地解决楔效应：在牙冠部位预留出肩领，可以将合力分散到表面，对牙根有很好的保护作用。 对于前牙残根的桩冠修复，要求牙周健康，松动度1度，尖周无明显炎症。 桩的制备原则 牙冠缺损至龈下，牙周健康，牙根有足够的牙槽骨支持，经龈切术后暴露出缺损面 当牙冠缺损至龈下，牙根要有足够的长度，经切龈术后暴露牙根于龈上0.5-1.5mm，在牙冠部制备出肩台，以保证粘结面密合，防止冠部渗漏。 有研究表明： 有坡度的肩台比无坡度的肩台更有利于分散应力和冠核的固位 当剩余的牙冠组织少于2mm厚度时，就会影响该牙的治疗效果；尽量多的保留冠部的残留牙体组织，以获得最强的支持； 当根冠的界面完全处于龈下时，在粘结过程注意将残留的粘结剂去除干净，不要形成悬凸和新的台阶，以免导致牙周炎和龈炎。 前牙错位牙、扭转牙无法做正畸治疗 牙冠较小的畸形牙不能做全冠修复 辅桩的适应症喇叭口状根管 复杂根管和多根管 双尖牙的融合根管和异形根管 * 纤维桩技术及其临床应用 * * This is the RTD facilities in Grenoble, France. * * Perhaps the most important of these would be protection of the root; an anchor for the core / crown that does not overpower the dentin, and requiring MINIMAL dentin removal. * * Here’s a quick overview of the comparative Moduli for some of the materials we use routinely and compared to dentin. You can easily see that Gold alloys are 3-4 times more rigid. Titanium is 5 times more rigid, and Stainless steel and ceramic posts are 10 times more rigid! With fiber posts, the Modulus varies from one brand of to another; from about 13 GPa to 20 GPa. ANY of them are a lot more mechanically compatible with devitalized human dentin than ANYTHING made of metal or ceramic. * * A healthy tooth is capable of dissipating and absorbing stress in a certain way. A low-modulus reconstruction recreates this system. A high-modulus reconstruction tends to concentrate and transfer stress. This can be dangerous. * * As a matter of physics, when one component with a high modulus (rigidity) is in function with a component of m