Radiographie evaluation of restaurations of endodontically treated teeth with individual post

Abstract

Timely und quality restauration of endodontically treated teeth is one of the major conditions for success of endodontic therapy. The aim of this study was to determine the efficiency of individual post cemented in endodontically treated teeth using radiographie parameters. 142 endodontically treated teeth restored with individual posts and permanent prosthetic restaurations were included in the clinical and radiographie research. The results of radiographie analysis reveled correctly made and cemented posts in 64% of the cases, inadequately placed posts in 14,4% and inadequate obturation between the tip of the post and radiographie apex, in 19,9% of the case. As a conclusion, correct course of endodontic treatment, clinicians knowing of anatomomorphological characteristics of root canals, correct gutta-percha removal and clinicians adaptibility to a specific case, are essential for the correct restauration of endodonticaly treated teeth with individual posts.

Pravovremena i kvalitetna restauracija endodontski lečenih zuba, jedan je od osnovnih uslova za uspešan ishod lečenja obolelog zuba. Cilj rada je bio da se na osnovu rendgengrafskih parametara u endodontski lečenim zubima i restauriranim stalnim zubnim nadoknadama, analizira efiksnost individualno izrađenih i cementiranih kočića. Klinička i rendgengrafska ispitivanja obuhvatila su 142 zuba pacijenata kod kojih je nakon endodontskog lečenja urađena i cementirana individualna nadogradnja, a potom urađena stalna zubna nadoknada. Dobijeni rezultati rendgengrafske analize ukazali su na korektno urađen i cementiran kočić u 64% slučajeva, neadekvatno postavljen kočić u 14,9% slučajeva, a neadekvatna kanalna obturacija od vrha kanala do apeksa konstatovana je u 19,9% slučajeva. Na osnovu dobijenih rezultata, može se zaključiti daje za korektnu restauraciju endodontski lečenih zuba individualnim kočićima, neophodan pravilan plan tretmana, poznavanje anatomomorfoloških karakteristika kanala korena zuba, pravilno uklanjanje gutaperke iz kanala korena zuba, kao i mogućnost prilagođavanja terapeuta odgovarajućem kliničkom slučaju.