Wolcott James, Meyers John
University of Colorado School of Dentistry, Division of Endodontics, Denver, Colorado, USA.
Compend Contin Educ Dent. 2006 Feb;27(2):104-10; quiz 111-2.
In recent years, dental implants have become a common alternative in dental care. Of course, not all patients present with clear-cut treatment needs. Treatment planning an endodontically treated tooth that may require re-treatment vs extracting that same tooth and placing an implant may be one such conundrum. Given the disparity between the implant and endodontic re-treatment literature and the relative paucity of data-based results for indications and contraindications of endosseous root-form implants vs endodontic re-treatment, treatment planning can become a complex task. This article presents a few criteria to consider when treatment planning endodontic re-treatment vs extraction and subsequent implant placement. Because treatment planning can become such a complex issue, using all the varied resources of the dental team is imperative.
近年来,牙种植体已成为牙科治疗中一种常见的替代方案。当然,并非所有患者都有明确的治疗需求。对于一颗可能需要再次治疗的根管治疗过的牙齿,是进行治疗计划还是拔除该牙齿并植入种植体,这可能就是一个难题。鉴于种植体和根管再治疗文献之间的差异,以及关于骨内根形种植体与根管再治疗的适应证和禁忌证的基于数据的结果相对较少,治疗计划可能会成为一项复杂的任务。本文提出了一些在制定根管再治疗与拔牙及后续种植体植入的治疗计划时需要考虑的标准。由于治疗计划可能会成为一个非常复杂的问题,因此必须利用牙科团队的所有各种资源。