Endosystem in Therapeutic Dentistry: An Argumented Choice

Abstract

Currently, therapeutic dentistry is developing by leaps and bounds. With a huge amount of new filling materials and techniques that have appeared on the dental market, the dentist is faced with the task of making a correct, reasoned choice. As for the strength of the tooth, we can say that it is greatly reduced. This confirms the concept that there is a direct relationship between the volume of the remaining tooth tissue and its strength characteristics. Standard pins do not actually strengthen the root of the tooth, but rather serve to evenly distribute the load and improve the retention of the restoration [5]. In most cases, endodontic treatment of caries complications is carried out if the tooth crown is severely destroyed. The success of treatment largely depends on the quality of sealing (sealing) of the orifices of the root canals, which will prevent the penetration of intraoral fluid and oral microorganisms into the periapical region [3]. Before the restoration of teeth with a destroyed crown, the question arises of the need to use a pin construction. One of the evaluation criteria and factors that determine the indications for the use of pins is the volume of preserved hard tooth tissues. Unfortunately, it is not precisely established at what minimum volume a comparative analysis of the adhesive strength of materials of different composition and properties for restoration of the crown part of the tooth using endosystems. Extracted teeth were divided into two groups: Group I - titanium standard pins were used, which were fixed with glass ionomer cement; Group II - glass fiber pins were used, for fixation of which Relyx U200 cement was used. The best adhesion of the composite to the hard tissues of the tooth has been convincingly proven when using self-adhesive composite cement in combination with fiberglass posts.