Subscribe to RSS
DOI: 10.1055/s-0030-1250048
© Georg Thieme Verlag KG Stuttgart · New York
Postendodontische Versorgung
Publication History
Publication Date:
26 August 2010 (online)
![](https://www.thieme-connect.de/media/zahnmedizin-u2d/201004/lookinside/thumbnails/10.1055-s-0030-1250048-1.jpg)
Einleitung
Die postendodontische Versorgung ist das Bindeglied zwischen der endodontischen Zahnerhaltung und der erfolgreichen, dauerhaften prothetischen Versorgung. Perfektion in nur jeweils einem der beiden Teilbereiche wird nicht genügen, um dem Patientenziel des dauerhaften Kaukomforts zu genügen. Deshalb ist es wichtig, hier das richtige Verfahren zu wählen – und es hat sich viel getan in den letzten 10 Jahren. Während jahrzehntelang der gegossene Stiftstumpfaufbau (SSA) Mittel der Wahl war, so ist es heute der konfektionierte Aufbaustift in Kombination mit einem Kompositaufbau. Ob nun ein faserverstärkter oder metallischer Aufbaustift zu verwenden ist, wird eher durch Handling-Eigenschaften bestimmt. Der Trend geht jedoch in Richtung glas- bzw. quarzfaserverstärkter Materialien.
Literatur
- 1 Ng Y L, Mann V, Rahbaran S et al. Outcome of primary root canal treatment: systematic review of the literature – part 1. Effects of study characteristics on probability of success. Int Endod J. 2007; 40 921-939
- 2 Iqbal M K, Kim S. For teeth requiring endodontic treatment, what are the differences in outcomes of restored endodontically treated teeth compared to implant-supported restorations?. Int J Oral Maxillofac Implants. 2007; 22 Suppl 96-116
- 3 Torabinejad M et al. Outcomes of root canal treatment and restoration, implant-supported single crowns, fixed partial dentures, and extraction without replacement: a systematic review. J Prosthet Dent. 2007; 98 285-311
- 4 Zitzmann N U, Weiger R. Wurzelkanalbehandlung versus Implantation. Zahnmedizin up2date. 2009; (4) 363-385
- 5 Sedgley C M, Messer H H. Are endodontically treated teeth more brittle?. J Endod. 1992; 18 332-335
- 6 Papa J, Cain C, Messer H H. Moisture content of vital vs endodontically treated teeth. Endod Dent Traumatol. 1994; 10 91-93
- 7 Reeh E S, Douglas W H, Messer H H. Stiffness of endodontically treated teeth related to restoration technique. J Dent Res. 1989; 68 540-544
- 8 Panitvisai P, Messer H H. Cuspal deflection in molars in relation to endodontic and restorative procedures. J Endod. 1995; 21 57-61
- 9 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
- 10 Peroz I, Blankenstein F, Lange K P et al. Restoring endodontically treated teeth with posts and cores – a review. Quintessence Int. 2005; 36 737-746
- 11 Trabert K C, Caput A A, Abou-Rass M. Tooth fracture – a comparison of endodontic and restorative treatments. J Endod. 1978; 4 341-345
- 12 Trope M, Maltz D O, Tronstad L. Resistance to fracture of restored endodontically treated teeth. Endod Dent Traumatol. 1985; 1 108-111
- 13 Morgano S M, Brackett S E. Foundation restorations in fixed prosthodontics: current knowledge and future needs. J Prosthet Dent. 1999; 82 643-657
- 14 Fernandes A S, Dessai G S. Factors affecting the fracture resistance of post-core reconstructed teeth: a review. Int J Prosthodont. 2001; 14 355-363
- 15 Naumann M, Lange K-P. Ansichten und Techniken zur Rekonstruktion endodontisch behandelter Zähne – eine Umfrage unter Zahnärzten im Bundesgebiet. Deutsch Zahnärztl Z. 2003; 58 280-285
- 16 Sorensen J A, Martinoff J T. Clinically significant factors in dowel design. J Prosthet Dent. 1984; 52 28-35
- 17 Schmitter M, Rammelsberg P, Gabbert O et al. Influence of clinical baseline findings on the survival of 2 post systems: a randomized clinical trial. Int J Prosthodont. 2007; 20 173-178
- 18 Fokkinga W A. Post it? Reconstruction of the endodontically treated tooth. Thesis. Radboud University Nijmegen. – with summary in dutch 2007
- 19 Fokkinga W A, Kreulen C M, Vallittu P K et al. A structured analysis of in vitro failure loads and failure modes of fiber, metal, and ceramic post-and-core systems. Int J Prosthodont. 2004; 17 476-482
- 20 Morgano S M, Milot P. Clinical success of cast metal posts and cores. J Prosthet Dent. 1993; 70 11-16
- 21 Vichi A, Fraioli A, Davidson C L et al. Influence of thickness on color in multi-layering technique. Dent Mater. 2007; 23 1584-1589
- 22 Chandler N P, Qualtrough A J, Purton D G. Comparison of two methods for the removal of root canal posts. Quintessence Int. 2003; 34 534-536
- 23 Pegoretti A, Fambri L, Zappini G et al. Finite element analysis of a glass fibre reinforced composite endodontic post. Biomaterials. 2002; 23 2667-2682
- 24 Ferrari M, Vichi A, Mannocci F et al. Retrospective study of the clinical performance of fiber posts. Am J Dent. 2000; 13 9B-13B
- 25 Fredriksson M, Astback J, Pamenius M et al. A retrospective study of 236 patients with teeth restored by carbon fiber-reinforced epoxy resin posts. J Prosthet Dent. 1998; 80 151-157
- 26 Ferrari M, Vichi A, Garcia-Godoy F. Clinical evaluation of fiber-reinforced epoxy resin posts and cast post and cores. Am J Dent. 2000; 13 15B-18B
- 27 Mannocci F, Qualtrough A J, Worthington H V et al. Randomized clinical comparison of endodontically treated teeth restored with amalgam or with fiber posts and resin composite: five-year results. Oper Dent. 2005; 30 9-15
- 28 Grandini S, Goracci C, Tay F R et al. Clinical evaluation of the use of fiber posts and direct resin restorations for endodontically treated teeth. Int J Prosthodont. 2005; 18 399-404
- 29 Malferrari S, Monaco C, Scotti R. Clinical evaluation of teeth restored with quartz fiber-reinforced epoxy resin posts. Int J Prosthodont. 2003; 16 39-44
- 30 Glazer B. Restoration of endodontically treated teeth with carbon fibre posts – a prospective study. J Can Dent Assoc. 2000; 66 613-618
- 31 Mannocci F, Bertelli E, Sherriff M et al. Three-year clinical comparison of survival of endodontically treated teeth restored with either full cast coverage or with direct composite restoration. J Prosthet Dent. 2002; 88 297-301
- 32 Monticelli F, Grandini S, Goracci C et al. Clinical behavior of translucent-fiber posts: a 2-year prospective study. Int J Prosthodont. 2003; 16 593-596
- 33 Naumann M, Kiessling S, Seemann R. Treatment concepts for restoration of endodontically treated teeth: A nationwide survey of dentists in Germany. J Prosthet Dent. 2006; 96 332-338
- 34 Assif D, Gorfil C. Biomechanical considerations in restoring endodontically treated teeth. J Prosthet Dent. 1994; 71 565-567
- 35 Guzy G E, Nicholls J I. In vitro comparison of intact endodontically treated teeth with and without endo-post reinforcement. J Prosthet Dent. 1979; 42 39-44
- 36 Heydecke G, Butz F, Strub J R. Einfluss des endodontischen Aufbaus auf die Frakturfestigkeit überkronter Frontzähne. Dtsch Zahnärztl Z. 1999; 54 637-640
- 37 Baratieri L N, De Andrada M A, Arcari G M et al. Influence of post placement in the fracture resistance of endodontically treated incisors veneered with direct composite. J Prosthet Dent. 2000; 84 180-184
- 38 McDonald A V, King P A, Setchell D J. In vitro study to compare impact fracture resistance of intact root-treated teeth. Int Endod J. 1990; 23 304-312
- 39 Sorensen J A, Engelman M J. Ferrule design and fracture resistance of endodontically treated teeth. J Prosthet Dent. 1990; 63 529-536
- 40 Stankiewicz N R, Wilson P R. The ferrule effect: a literature review. Int Endod J. 2002; 35 575-581
- 41 Saupe W A, Gluskin A H, Radke jr. R A. A comparative study of fracture resistance between morphologic dowel and cores and a resin-reinforced dowel system in the intraradicular restoration of structurally compromised roots. Quintessence Int. 1996; 27 483-491
- 42 Caputo A A, Standlee J P. Pins and posts-why, when and how. Dent Clin North Am. 1976; 20 299-311
- 43 Tjan A H, Whang S B. Resistance to root fracture of dowel channels with various thicknesses of buccal dentin walls. J Prosthet Dent. 1985; 53 496-500
- 44 Yoldas O, Akova T, Uysal H. An experimental analysis of stresses in simulated flared root canals subjected to various post-core applications. J Oral Rehabil. 2005; 32 427-432
- 45 Naumann M, Blankenstein F, Lange K-P. Vorschlag zur Standardisierung von In-vitro Belastbarkeitsuntersuchungen an endodontisch behandelten Zähnen. Dtsch Zahnärztl Z. 2002; 57 554-557
- 46 Pilo R, Tamse A. Residual dentin thickness in mandibular premolars prepared with gates glidden and ParaPost drills. J Prosthet Dent. 2000; 83 617-623
- 47 Attin T. Der Einfluß verstärkender Wurzelstifte auf die Frakturanfälligkeit endodontisch versorgter Zähne. Dtsch Zahnärztl Z. 1994; 49 586-589
- 48 Steele A, Johnson B R. In vitro fracture strength of endodontically treated premolars. J Endod. 1999; 25 6-8
- 49 Ausiello P, De Gee A J, Rengo S et al. Fracture resistance of endodontically-treated premolars adhesively restored. Am J Dent. 1997; 10 237-241
- 50 Strub J R, Pontius O, Koutayas S. Survival rate and fracture strength of incisors restored with different post and core systems after exposure in the artificial mouth. J Oral Rehabil. 2001; 28 120-124
- 51 Testori T, Badinio M, Castagnola M. Vertical root fractures in endodonically treated teeth: a clinical survey of 36 cases. J Endod. 1993; 19 87-91
- 52 Sorensen J A, Martinoff J T. Intracoronal reinforcement and coronal coverage: a study of endodontically treated teeth. J Prosthet Dent. 1984; 51 780-784
- 53 Foley J, Saunders E, Saunders W P. Strength of core build-up materials in endodontically treated teeth restored by the post and core technique. Am J Dent. 1997; 10 166-172
- 54 Burke F J, Shaglouf A G, Combe E C et al. Fracture resistance of five pin-retained core build-up materials on teeth with and without extracoronal preparation. Oper Dent. 2000; 25 388-394
- 55 Bolhuis H P B, De Gee A J, Feilzer A J et al. Fracture strength of different core build-up designs. Am J Dent. 2001; 14 286-290
- 56 Yoldas O, Oztunc H, Tinaz C et al. Perforation risks associated with the use of Masserann endodontic kit drills in mandibular molars. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004; 97 513-517
- 57 Torbjorner A, Fransson B. A literature review on the prosthetic treatment of structurally compromised teeth. Int J Prosthodont. 2004; 17 369-376
- 58 Sorensen J, Ahn S, Berge H et al. Selection criteria for post and core materials in the restoration of endodontically treated teeth. Proceedings of Conference on Scientific Criteria for Selecting Materials and Techniques in Clinical Dentistry. 2001; 15 67-84
- 59 King P A, Setchell D J. An in vitro evaluation of a prototype CFRC prefabricated post developed for the restoration of pulpless teeth. J Oral Rehabil. 1990; 17 599-609
- 60 Assif D, Oren E, Marshak B L, Aviv I. Photoelastic analysis of stress transfer by endodontically treated teeth to the supporting structure using different restorative techniques. J Prosthet Dent. 1989; 61 535-543
- 61 Asmussen E, Peutzfeldt A, Heitmann T. Stiffness, elastic limit, and strength of newer types of endodontic posts. J Dent. 1999; 27 275-278
- 62 Bae J M et al. The flexural properties of fiber-reinforced composite with light-polymerized polymer matrix. Int J Prosthodont. 2001; 14 33-39
- 63 Cormier C J, Burns D R, Moon P. In vitro comparison of the fracture resistance and failure mode of fiber, ceramic, and conventional post systems at various stages of restoration. J Prosthodont. 2001; 10 26-36
- 64 Newman M P, Yaman P, Dennison J et al. Fracture resistance of endodontically treated teeth restored with composite posts. J Prosthet Dent. 2003; 89 360-367
- 65 Bateman G, Ricketts D N, Saunders W P. Fibre-based post systems: a review. Br Dent J. 2003; 195 43-48
- 66 Isidor F, Odman P, Brondum K. Intermittent loading of teeth restored using prefabricated carbon fiber posts. Int J Prosthodont. 1996; 9 131-136
- 67 Bolhuis P, de Gee A, Feilzer A. Influence of fatigue loading on four post-and-core systems in maxillary premolars. Quintessence Int. 2004; 35 657-667
- 68 Asmussen E, Peutzfeldt A, Sahafi A. Bonding of resin cements to post materials: influence of surface energy characteristics. J Adhes Dent. 2005; 7 231-234
- 69 de Rijk W G. Removal of fiber posts from endodontically treated teeth. Am J Dent. 2000; 13 19B-21B
- 70 Gesi A, Magnolfi S, Goracci C, Ferrari M. Comparison of two techniques for removing fiber posts. J Endod. 2003; 29 580-582
- 71 Lindemann M, Yaman P, Dennison J B et al. Comparison of the efficiency and effectiveness of various techniques for removal of fiber posts. J Endod. 2005; 31 520-522
- 72 Castrisos T V, Palamara J E, Abbott P V. Measurement of strain on tooth roots during post removal with the Eggler post remover. Int Endod J. 2002; 35 337-344
- 73 Castrisos T, Abbott P V. A survey of methods used for post removal in specialist endodontic practice. Int Endod J. 2002; 35 172-180
- 74 Nissan J, Dmitry Y, Assif D. The use of reinforced composite resin cement as compensation for reduced post length. J Prosthet Dent. 2001; 86 304-308
- 75 Abramovitz L, Lev R, Fuss Z, Metzger Z. The unpredictability of seal after post space preparation: a fluid transport study. J Endod. 2001; 27 292-295
- 76 Wu M-K, Pehlivan Y et al. Microleakage along apical root fillings and cemented posts. J Prosthet Dent. 1998; 79 264-269
- 77 Goldman M, DeVitre R, White R et al. An SEM study of posts cemented with an unfilled resin. J Dent Res. 1984; 63 1003-1005
- 78 Reid L C, Kazemi R B, Meiers J C. Effect of fatigue testing on core integrity and post microleakage of teeth restored with different post systems. J Endod. 2003; 29 125-131
- 79 Schwartz R S, Robbins J W. Post placement and restoration of endodontically treated teeth: a literature review. J Endod. 2004; 30 289-301
- 80 Asmussen E, Peutzfeldt A, Sahafi A. Finite element analysis of stresses in endodontically treated, dowel-restored teeth. J Prosthet Dent. 2005; 94 321-329
- 81 Li L L et al. Three-dimensional finite element analysis of weakened roots restored with different cements in combination with titanium alloy posts. Chin Med J (Engl). 2006; 119 305-311
- 82 Mendoza D B, Eakle W S, Kahl E A et al. Root reinforcement with a resin-bonded preformed post. J Prosthet Dent. 1997; 78 10-14
- 83 Ferrari M, Mannocci F, Vichi A, Cagidiaco M C, Mjor I A. Bonding to root canal: structural characteristics of the substrate. Am J Dent. 2000; 13 255-260
- 84 Bitter K, Paris S, Martus P, Schartner R, Kielbassa A M. A Confocal Laser Scanning Microscope investigation of different dental adhesives bonded to root canal dentine. Int Endod J. 2004; 37 840-848
- 85 Serafino C, Gallina G, Cumbo E et al. Surface debris of canal walls after post space preparation in endodontically treated teeth: a scanning electron microscopic study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004; 97 381-387
- 86 Grandini S, Goracci C, Monticelli F et al. SEM evaluation of the cement layer thickness after luting two different posts. J Adhes Dent. 2005; 7 235-240
- 87 Bolhuis P, de Gee A, Feilzer A. The influence of fatigue loading on the quality of the cement layer and retention strength of carbon fiber post-resin composite core restorations. Oper Dent. 2005; 30 220-227
- 88 Drummond J L, Toepke T R, King T J. Thermal and cyclic loading of endodontic posts. Eur J Oral Sci. 1999; 107 220-224
- 89 Sano H, Kanemura N, Burrow M F et al. Effect of operator variability on dentin adhesion: students vs. dentists. Dent Mater J. 1998; 17 51-58
- 90 Van Meerbeek B et al. Technique-sensitivity of contemporary adhesives. Dent Mater J. 2005; 24 1-13
- 91 Chersoni S et al. In vivo fluid movement through dentin adhesives in endodontically treated teeth. J Dent Res. 2005; 84 223-227
- 92 Lloyd P M, Palik J F. The philosophies of dowel diameter preparation: a literature review. J Prosthet Dent. 1993; 69 32-36
- 93 Schwartz N L, Whitsett L D, Berry T G et al. Unserviceable crowns and fixed partial dentures: life-span and causes for loss of serviceability. J Am Dent Assoc. 1970; 81 1395-1401
- 94 Aquilino S A, Caplan D J. Relationship between crown placement and the survival of endodontically treated teeth. J Prosthet Dent. 2002; 87 256-263
- 95 Bergman B, Lundquist P, Sjogren U et al. Restorative and endodontic results after treatment with cast posts and cores. J Prosthet Dent. 1989; 61 10-15
- 96 Iqbal M K, Johansson A A, Akeel R F et al. A retrospective analysis of factors associated with the periapical status of restored, endodontically treated teeth. Int J Prosthodont. 2003; 16 31-38
- 97 Loney R W, Moulding M B, Ritsco R G. The effect of load angulation on fracture resistance of teeth restored with cast post and cores and crowns. Int J Prosthodont. 1995; 8 247-251
- 98 Hatzikyriakos A H, Reisis G I, Tsingos N. A 3-year postoperative clinical evaluation of posts and cores beneath existing crowns. J Prosthet Dent. 1992; 67 454-458
- 99 Decock V, De Nayer K, De Boever J A, Dent M. 18-year longitudinal study of cantilevered fixed restorations. Int J Prosthodont. 1996; 9 331-340
- 100 Caplan D J, Kolker J, Rivera E M et al. Relationship between number of proximal contacts and survival of root canal treated teeth. Int Endod J. 2002; 35 193-199
- 101 Eckerbom M, Magnusson T, Martinsson T. Prevalence of apical periodontitis, crowned teeth and teeth with posts in a Swedish population. Endod Dent Traumatol. 1991; 7 214-220
- 102 Naumann M, Rosentritt M, Preuss A et al. The effect of alveolar bone loss on the load capability of restored endodontically treated teeth: A comparative in vitro study. J Dent. 2006; 34 790-795
- 103 Lynch C D, Burke F M, Ni Riordain R et al. The influence of coronal restoration type on the survival of endodontically treated teeth. Eur J Prosthodont Restor Dent. 2004; 12 171-176
- 104 Ferrari M, Mason P N, Goracci C et al. Collagen degradation in endodontically treated teeth after clinical function. J Dent Res. 2004; 83 414-419
- 105 Rivera EM, Yamauchi M. Site comparisons of dentine collagen cross-links from extracted human teeth. Arch Oral Biol. 1993; 38 541-546
- 106 Howe C A, McKendry D J. Effect of endodontic access preparation on resistance to crown-root fracture. J Am Dent Assoc. 1990; 121 712-715
- 107 Creugers N H, Mentink A G, Fokkinga W A et al. 5-year follow-up of a prospective clinical study on various types of core restorations. Int J Prosthodont. 2005; 18 34-39
- 108 Randow K, Glantz P O. On cantilever loading of vital and non-vital teeth. An experimental clinical study. Acta Odontol Scand. 1986; 44 271-277
- 109 Caplan D J, Kolker J, Rivera E M et al. Relationship between number of proximal contacts and survival of root canal treated teeth. Int Endod J. 2002; 35 193-199
- 110 Sorensen J A, Martinoff J T. Endodontically treated teeth as abutments. J Prosthet Dent. 1985; 53 631-636
- 111 Landolt A, Lang N P. [Results and failures in extension bridges. A clinical and roentgenological follow-up study of free-end bridges]. Schweiz Monatsschr Zahnmed. 1988; 98 239-244
- 112 Rosentritt M, Sikora M, Behr M et al. In vitro fracture resistance and marginal adaptation of metallic and tooth-coloured post systems. J Oral Rehabil. 2004; 31 675-681
- 113 Ferrari M, Vichi A, Garcia-Godoy F. Clinical evaluation of fiber-reinforced epoxy resin posts and cast post and cores. Am J Dent. 2000; 13 15B-18B
- 114 Ben-Ur Z, Zimmermann A M. Screw-type root canal post systems – accuracy and strength of root canal walls. Quintessenz. 1983; 34 1325-1332
- 115 Assif D, Gorfil C. Biomechanical considerations in restoring endodontically treated teeth. J Prosthet Dent. 1994; 71 565-567
- 116 Wegner S M, Wolfart S, Kern M. In vivo study of the marginal integrity of composite resin buildups after full crown preparation. J Adhes Dent. 2004; 6 151-155
Dr. Michael Naumann
Zahnärzte an der Kleinmachnover Schleuse
Wannseestr. 42
14532 Stahnsdorf
Phone: 03329/63262
Email: naumann@naumann-kiessling.de