登士柏经销商培训

SDR登士柏修复对于根管治疗成功的重要性SDR特性及案例根管治疗已完成–要注意必须避免的是什么?根尖周炎症(API)根管治疗后牙齿的根尖周状态与根管充填和冠修复的质量有关。Trope,

M:Periapical

status

of

endodontically

treated

teeth

in

relation

to

the

technical

quality

ofthe

root

filling

and

the

coronal

restoration.

University

of

North

Carolina,

Chapel

Hill,

TempleDental

School,

USA.

Int

End

J

(1995)

28,

12-18成功的标准：根尖周的健康=根尖周炎症(API)的消除样本大小:1010

管治疗一年后的牙齿的X线片，且拍片前患者没有再接受牙齿治疗出现API=失败的根管治疗没有发现API=成功的根管治疗90%

success

rate68%

success

rate44%

success

rate18%

success

rate0%10%20%30%40%50%60%70%80%90%100%差的冠封闭紧密的冠封闭根管治疗的成功与紧密的冠封闭有关Trope,

M:

Periapical

status

of

endodontically

treated

teeth

in

relation

to

the

technical

quality

of

the

root

filling

and

thecoronal

restoration.

University

of

North

Carolina,

Chapel

Hill,

Temple

Dental

School,

USA.

Int

End

J

(1995)

28,

12-18差的根管治疗好的根管治疗“对于根尖周的健康来说，冠修复的质量比根管治疗的质量重要的多。”统计显著表明/作者得出的结论Trope,

M:

Periapical

status

of

endodontically

treated

teeth

in

relation

to

the

technical

quality

of

the

root

filling

and

thecoronal

restoration.

University

of

North

Carolina,

Chapel

Hill,

Temple

Dental

School,

USA.

Int

End

J

(1995)

28,

12-18对于一个成功的根管治疗，你需要……SDR作为冠、根管的封闭剂Paqué

F(2014)SDR作为冠、根管的封闭剂Paqué

F(2014)SDR作为冠、根管的封闭剂Paqué

F(2014)SDR作为冠、根管的封闭剂Paqué

F(2014)修复对于根管治疗成功的重要性SDR特性及案例传统树脂不（！）建议大块放置因为收缩会施加应力在牙齿表面（或相应粘接剂上）如果大块放置，复合材料（或粘接剂）会从洞表面分离缝隙形成龋坏术后敏感复合树脂需要分层技术以补偿聚合收缩跟随分层而来的是…+需要生成[牙合]面形态需要时间增加空洞(气泡)风险增加污染风险Complicated

复杂!!!Dr.

Walter

Dias现在有了后牙修复复合树脂(I/II类洞)大块充填(厚达4mm)持续流动(自流平)任意复合树脂封顶(优化解剖形态)通用色简化了的充填技术大(块=4

灌mm注深度，20秒@

550

mW/cm2)QUESTION:允许大块灌注的最关键点是什么？ANSWER:降低了聚合应力（!）SDR™体积收缩聚合应力高收缩应力粘结失败修复体脱落继发龋色素沉积超敏反应Composition

组分Constituent

构成DMA

Urethane

resindi-

functional

diluentbariumundstrontiumalumino-fluoro-silicate

glassinitiatoriron

oxideSDR™

monomer*(urethane

dimethacrylate)Function

功能structure

结构crosslinking

交联filler

填料visiblelight

curing

可见光colorant

剂reduces

stress

降低应力*patent

pendingOXR

OYRO

OOOXXOXO

RYSDR

Monomer

-

PolymerizationSDR单体-聚合反应conventional

monomer常规单体SDR

monomer

with

modulatorSDR单体带有调制因子+How

did

we

achieve

the

reductionin

polymerization

stress?是如何达成降低聚合应力的？回答：SDR单体应力降低树脂产生于聚合反应过程中的能量(应力)被吸收(更具弹性的网络)Conventionel

Composite

fillingTechnique

–

risk

of

voids常规复合树脂充填技术-空洞风险Courtesy

of

Andreas

Kluschke

MScSelf

levelling

property自流平特性SDR-充填技术降低空洞风险Courtesy

of

Andreas

Kluschke

MScSDR小窝洞充填效果小结SDR是一款理想的根管治疗后树脂，由于其收缩应力非常低，它可以进行大体积充填，同时冠封闭效果非常好。临床使用病例SDR

&

Ceram.X

Mono

+

M3SDR

&

Ceram.X

Mono

+

M340SDR

&

Ceram.X

Mono

+

M341Ceram.X

Mono+

M3422mm

hole

–

will

DEMO:Self

Leveling2

mm洞–将演示自流平Self-Leveling!!!自流平!!!Self-Leveled!!!自己-平了!!!iCure8mm

hole

–

will

DEMO:8mm洞–即将演示Depth

of

Cure

深度Self

Leveling

自我找平Adaptation

顺应性Adhesion

to

CapMaterial

与封盖材料粘接Ease

of

Use

易于应用Touch

the

bottom

of…Keep

the

Canula

Buried

within

the

Material!!!Self-Leveling!!!Self-Leveling!!!Self-Leveled!!!Keep

the

Tip

Buried

the

Material!!!Keep

the

Tip

Buried

the

Material!!!Keep

the

Tip

Buried

the

Material!!!Keep

the

Tip

Buried

the

Material!!!Keep

the

Tip

Buried

the

Material!!!Imperfections

will

self-level!!!Self-Leveling!!!Self-Leveling!!!Self-Leveled!!!Note

that

SDR

is

not

runny!!!注意SDR没有跑!!!CapMaterial!!!封盖材料!!!Touch

the

SDR

surface

with

Compule…用Compule接触SDR表面…Keep

the

Tip

Buried

within

the

Material!!!SDR

cap…Is

great

to

pop

samples

off

Icure!!!Or

simply

use

a

rigid

instrument!!!或简单地使用一个刚性工具!!!一类洞：直接修复牙本质，然后上面用其他树脂二类

三明治法，先用SDR补洞壁的牙本质，再用通用树脂修复洞壁，MOD洞就修复2个洞壁，之后按一类洞处理后牙复合树脂(I/