ZWR - Das Deutsche Zahnärzteblatt 2020; 129(10): 491-502
DOI: 10.1055/a-1271-9801
Fortbildung
Endodontologie

Der Stift im Wurzelkanal – differenzialtherapeutische Überlegungen

Ralf Krug
,
Gabriel Krastl

Wurzelkanalbehandelte Zähne wurden oftmals „reflexartig“ aus vermeintlichen Stabilisierungsgründen mit einem Stift restauriert. In der restaurativen Zahnheilkunde gibt es zahlreiche Möglichkeiten, die den Stift im Wurzelkanal bedingen oder relativieren können. Ziel der hier vorgestellten differenzialtherapeutischen Aspekte ist es, dass wurzelkanalbehandelte Zähne – bei korrekter Indikation oftmals auch ohne Stift – langfristig restauriert werden können.



Publikationsverlauf

Artikel online veröffentlicht:
21. Oktober 2020

© 2020. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 
  • Literatur

  • 1 Naumann M, Schmitter M, Frankenberger R. et al. “Ferrule comes first. Post is second!” Fake news and alternative facts? A systematic review. J Endod 2018; 44: 212-219
  • 2 Edelhoff D, Heidemann D, Kern M. et al. Aufbau endodontisch behandelter Zähne. Gemeinsame Stellungnahme der DGZMK, der DGZPW und der DGZ. Dt Zahn Z 2003; 58: 199
  • 3 Bitter K, Noetzel J, Stamm O. et al. Randomized clinical trial comparing the effects of post placement on failure rate of postendodontic restorations: Preliminary results of a mean period of 32 months. J Endod 2009; 35: 1477-1482
  • 4 von Stein-Lausnitz M, Bruhnke M, Rosentritt M. et al. Direct restoration of endodontically treated maxillary central incisors: Post or no post at all?. Clin Oral Investig 2019; 23: 381-389
  • 5 Krishan R, Paque F, Ossareh A. Impacts of conservative endodontic cavity on root canal instrumentation efficacy and resistance to fracture assessed in incisors, premolars, and molars. J Endod 2014; 40: 1160-1166
  • 6 Plotino G, Grande NM, Isufi A. et al. Fracture strength of endodontically treated teeth with different access cavity designs. J Endod 2017; 43: 995-1000
  • 7 Azim AA, Griggs JA, Huang GT. The Tennessee study: factors affecting treatment outcome and healing time following nonsurgical root canal treatment. Int Endod J 2016; 49: 6-16
  • 8 Moreira DM, Almeida JFA, Ferraz CCR. et al. Structural analysis of bovine root dentin after use of different endodontics auxiliary chemical substances. J Endod 2009; 35: 1023-1027
  • 9 Farina AP, Cecchin D, Barbizam JV. et al. Influence of endodontic irrigants on bond strength of a self-etching adhesive. Austr End J 2011; 37: 26-30
  • 10 Morris MD, Lee KW, Agee KA. et al. Effects of sodium hypochlorite and rc-prep on bond strengths of resin cement to endodontic surfaces. J Endod 2001; 27: 753-757
  • 11 Santos JN, Carrilho MR, De Goes MF. et al. Effect of chemical irrigants on the bond strength of a self-etching adhesive to pulp chamber dentin. J Endod 2006; 32: 1088-1090
  • 12 Violich DR, Chandler NP. The smear layer in endodontics – a review. Int Endod J 2010; 43: 2-15
  • 13 Bitter K, Eirich W, Neumann K. et al. Effect of cleaning method, luting agent and preparation procedure on the retention of fibre posts. Int Endod J 2012; 45: 1116-1126
  • 14 Bitter K, Perdigao J, Exner M. et al. Reliability of fibre post bonding to root canal dentin after simulated clinical function in vitro. Oper Dent 2012; 37: 397-405
  • 15 Juloski J, Radovic I, Goracci C. et al. Ferrule effect: A literature review. J End 2012; 38: 11-19
  • 16 Schmitter M, Sterzenbach G, Faggion CM. et al. A flood tide of systematic reviews on endodontic posts: Methodological assessment using of r-amstar. Clin Oral Inv 2013; 17: 1287-1294
  • 17 Duret B, Reynaud M, Duret F. [A new concept of corono-radicular reconstruction, the Composipost (2)]. Chir Dent Fr 1990; 60: 69-77
  • 18 Sterzenbach G, Franke A, Naumann M. Rigid versus flexible dentine-like endodontic posts-clinical testing of a biomechanical concept: Seven-year results of a randomized controlled clinical pilot trial on endodontically treated abutment teeth with severe hard tissue loss. J Endod 2012; 38: 1557-1563
  • 19 Naumann M, Sterzenbach G, Dietrich T. et al. Dentin-like versus rigid endodontic post: 11-year randomized controlled pilot trial on no-wall to 2-wall defects. J Endod 2017; 43: 1770-1775
  • 20 Figueiredo FE, Martins-Filho PR, Faria ESAL. Do metal post-retained restorations result in more root fractures than fibre post-retained restorations? A systematic review and meta-analysis. J Endod 2015; 41: 309-316
  • 21 Bitter K, Kielbassa AM. Post-endodontic restorations with adhesively luted fibre-reinforced composite post systems: A review. Am J Dent 2007; 20: 353-360
  • 22 Krastl G, Zitzmann NU, Weiger R. Adhäsivaufbau bei wurzelkanalgefüllten Zähnen. Zahnmed up2date 2008; 4: 323-346
  • 23 Naumann M, Blankenstein F, Kiessling S. et al. Risk factors for failure of glass fibre-reinforced composite post restorations: A prospective observational clinical study. Eur J Oral Sci 2005; 113: 519-524
  • 24 Naumann M, Koelpin M, Beuer F. et al. 10-year survival evaluation for glass-fibre-supported postendodontic restoration: A prospective observational clinical study. J Endod 2012; 38: 432-435
  • 25 Costa RG, De Morais EC, Campos EA. et al. Customized fibre glass posts. Fatigue and fracture resistance. Am J Dent 2012; 25: 35-38
  • 26 Anchieta RB, Rocha EP, Almeida EO. et al. Influence of customized composite resin fibreglass posts on the mechanics of restored treated teeth. Int Endod J 2012; 45: 146-155
  • 27 Genovese K, Lamberti L, Pappalettere C. Finite element analysis of a new customized composite post system for endodontically treated teeth. J Biomech 2005; 38: 2375-2389
  • 28 Cagidiaco MC, Garcia-Godoy F, Vichi A. et al. Placement of fibre prefabricated or custom made posts affects the 3-year survival of endodontically treated premolars. Am J Dent 2008; 21: 179-184
  • 29 Ferrari M, Vichi A, Fadda GM. et al. A randomized controlled trial of endodontically treated and restored premolars. J Dent Res 2012; 91: 72-78
  • 30 Bergman B, Lundquist P, Sjogren U. et al. Restorative and endodontic results after treatment with cast posts and cores. J Prosth Dentistry 1989; 61: 10-15
  • 31 Jung RE, Kalkstein O, Sailer I. et al. A comparison of composite post buildups and cast gold post-and-core buildups for the restoration of nonvital teeth after 5 to 10 years. Int J Prosthodont 2007; 20: 63-69
  • 32 Sarkis-Onofre R, de Castilho Jacinto R, Boscato N. et al. Cast metal vs. Glass fibre posts: A randomized controlled trial with up to 3 years of follow up. J Dent 2014; 42: 582-587
  • 33 Cloet E, Debels E, Naert I. Controlled clinical trial on the outcome of glass fibre composite cores versus wrought posts and cast cores for the restoration of endodontically treated teeth: A 5-year follow-up study. Int J Prosthodont 2017; 30: 71-79
  • 34 Maccari PC, Cosme DC, Oshima HM. et al. Fracture strength of endodontically treated teeth with flared root canals and restored with different post systems. J Esthet Restor Dent 2007; 19: 30-36 discussion 37
  • 35 Heydecke G, Peters MC. The restoration of endodontically treated, single-rooted teeth with cast or direct posts and cores: A systematic review. J Prosth Dent 2002; 87: 380-386
  • 36 Schmitter M, Hamadi K, Rammelsberg P. Survival of two post systems–five-year results of a randomized clinical trial. Quintessence Int 2011; 42: 843-850
  • 37 Schmitter M, Lippenberger S, Rues S. et al. Fracture resistance of incisor teeth restored using fibre-reinforced posts and threaded metal posts: Effect of post length, location, pretreatment and cementation of the final restoration. Int Endod J 2010; 43: 436-442
  • 38 Rathke A, Haj-Omer D, Muche R. et al. Effectiveness of bonding fibre posts to root canals and composite core build-ups. Eur J Oral Sci 2009; 117: 604-610
  • 39 Bitter K, Perdigao J, Exner M. et al. Reliability of fibre post bonding to root canal dentin after simulated clinical function in vitro. Oper Dent 2012; 37: 397-405
  • 40 Goracci C, Ferrari M. Current perspectives on post systems: A literature review. Austr Dent J 2011; 56: 77-83
  • 41 Gu XH, Mao CY, Liang C. et al. Does endodontic post space irrigation affect smear layer removal and bonding effectiveness?. Eur J Oral Sci 2009; 117: 597-603
  • 42 Sarkis-Onofre R, Skupien JA, Cenci MS. et al. The role of resin cement on bond strength of glass-fibre posts luted into root canals: A systematic review and meta-analysis of in vitro studies. Oper Dent 2014; 39: E31-E44
  • 43 Bitter K, Schubert A, Neumann K. et al. Are self-adhesive resin cements suitable as core build-up materials? Analyses of maximum load capability, margin integrity, and physical properties. Clin Oral Inv 2016; 20: 1337-1345
  • 44 Lang H, Korkmaz Y, Schneider K. et al. Impact of endodontic treatments on the rigidity of the root. J Dent Res 2006; 85: 364-368
  • 45 Krastl G, Gugger J, Deyhle H. et al. Impact of adhesive surface and volume of luting resin on fracture resistance of root filled teeth. Int Endod J 2011; 44: 432-439
  • 46 Krastl G. Die postendodontische Restauration – Wurzelkanalstifte: wann und wie?. Endodontie 2005; 14: 129-142
  • 47 Junqueira RB, de Carvalho RF, Marinho CC. et al. Influence of glass fibre post length and remaining dentine thickness on the fracture resistance of root filled teeth. Int Endod J 2017; 50: 569-577
  • 48 Shu X, Mai QQ, Blatz M. et al. Direct and indirect restorations for endodontically treated teeth: A systematic review and meta-analysis, IAAD 2017 Consensus Conference Paper. J Adhes Dent 2018; 20: 183-194
  • 49 Dammaschke T, Nykiel K, Sagheri D. et al. Influence of coronal restorations on the fracture resistance of root canal-treated premolar and molar teeth: A retrospective study. Aust Endod J 2013; 39: 48-56
  • 50 Federlin M, Hiller KA, Schmalz G. Controlled, prospective clinical split-mouth study of cast gold vs. ceramic partial crowns: 5,5 year results. Am J Dent 2010; 23: 161-167
  • 51 Naumann M, Schmitter M, Krastl G. Postendodontic restoration: Endodontic post-and-core or no post at all?. J Adh Dent 2018; 20: 19-24
  • 52 Sedrez-Porto JA, Rosa WL, da Silva AF. et al. Endocrown restorations: A systematic review and meta-analysis. J Dent 2016; 52: 8-14
  • 53 Bindl A, Mormann WH. Clinical evaluation of adhesively placed cerec endo-crowns after 2 years – preliminary results. J Adh Dent 1999; 1: 255-265
  • 54 Decerle N, Bessadet M, Munoz-Sanchez ML. et al. Evaluation of cerec endocrowns: A preliminary cohort study. Eur J Prosthodont Restor Dent 2014; 22: 89-95
  • 55 Otto T. Computer-aided direct all-ceramic crowns: Preliminary 1-year results of a prospective clinical study. Int J Period Restor Dent 2004; 24: 446-455
  • 56 Behring J, Cujé J, Hergt A. et al. Erhalt tief zerstörter Zähne – eine Entscheidungshilfe. Endodontie 2017; 26: 437-444
  • 57 Goldberg PV, Higginbottom FL, Wilson TG. Periodontal considerations in restorative and implant therapy. Periodontol 2000 2001; 25: 100-109
  • 58 Lanning SK, Waldrop TC, Gunsolley JC. et al. Surgical crown lengthening: Evaluation of the biological width. J Periodontol 2003; 74: 468-474