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Frakturerede fortænder – behandling med direkte plast
Umeå University, Faculty of Medicine, Department of Odontology.
2018 (Danish)In: Aktuel nordisk odontologi, ISSN 1902-3545, Vol. 43, no 1, p. 46-67Article in journal (Other academic) Published
Abstract [da]

Kompositte plastmaterialer og adhæsivteknik har gjort det muligt at restaurere frakturerede fortænder med minimal risiko for pul-pale og parodontale komplikationer hos både børn og voksne. Behandlingen kan udføres umiddelbart efter traumet, hvis skaden ikke involverer parodontium eller knogle. Klasse IV fyldninger har kortere holdbarhed end fuldkeramiske – og metalkeramikkroner. Holdbarheden er blevet forbedret med nyere materialer og adhæ-siver. En plastopbygning af en fraktureret tand er mere konservativ for både tandsubstans, pulpa og det omgivende blødtvæv end en krone. Taget i betragtning, at det kan være nødvendigt at omlægge plastfyldningen 2–3 gange for at have samme holdbarhed som en krone, vil de økonomiske konsekvenser for patienten være de samme for begge behandlinger. Heller ikke kroner holder evigt, de må som følge af caries, fraktur af keramik, manglende retention eller af æstetiske grunde også omlægges eller repareres over tid. Klinikere søger ofte efter et mirakelmateriale, men slutresultatet er oftest forbundet med klinikerens håndelag og viden. Alle trin i den restorative procedure er vigtige for en holdbar og æstetisk restaurering.

Abstract [en]

Resin composites and adhesive techniques offer a conservative restoration of crown-fractured teeth with a minimal risk of pulpal and periodontal complications in both children and adults. The restoration can be performed immediately after injury if there is no associated periodontal or supporting bone injury. Class IV resin restorations have a shorter longevity than full ceramic and porcelain fused to metal crowns. The durability of restorations with newer materials and bonding systems has improved. A composite build-up of a fractured tooth is more conservative to the hard tooth-structures, the pulp and the surrounding soft tissue than a crown. Considering that the resin composite build up may need replacement 2–3 times in order to equal the durability of a crown, the economic consequences for the patients over time may be the same for both treatments. However, crowns are also replaced or repaired over the years due to caries, fracture of ceramic, lack of retention or for esthetic reasons. Clinicians often look for a miracle material, but the final result is linked to the clinician's manual skills and knowledge. All steps in the direct restorative procedure are mandatory for a lasting and aesthetic restoration.

Place, publisher, year, edition, pages
Universitetsforlaget, 2018, 43. Vol. 43, no 1, p. 46-67
Keywords [en]
Tooth fracture, anterior teeth, composite resin, longevity, aesthetics
Keywords [da]
Tandfraktur, fortænder, direkte plast, holdbarhed, æstetik
National Category
Dentistry
Identifiers
URN: urn:nbn:se:umu:diva-143124DOI: 10.18261/issn.2058-7538-2018-01-05OAI: oai:DiVA.org:umu-143124DiVA, id: diva2:1167159
Available from: 2017-12-18 Created: 2017-12-18 Last updated: 2018-06-09Bibliographically approved

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Van Dijken, Jan

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CiteExportLink to record
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