Kao Richard T
Division of Periodontology, University of California at San Francisco, San Francisco, CA, USA.
J Periodontol. 2008 Jun;79(6):971-7. doi: 10.1902/jop.2008.070551.
The greatest challenge in treatment planning is to assign an accurate prognosis and develop a predictable protocol. In the era of evidence-based dentistry, outcome studies have forced us to reexamine our treatment approaches and decide if superior treatment options should be pursued. As endosseous dental implants gain greater acceptance because of high success rates, the critical question is whether a tooth with a questionable prognosis should be managed conservatively in a traditional fashion or be strategically extracted in preparation for a dental implant. The outcomes of traditional periodontal, endodontic, and prosthodontic treatment approaches are compared to the option of strategic extraction.
治疗计划中最大的挑战是给出准确的预后评估并制定可预测的方案。在循证牙科时代，疗效研究促使我们重新审视治疗方法，并决定是否应采用更优的治疗方案。由于骨内牙种植体成功率高而越来越被接受，关键问题是，对于预后存疑的牙齿，是应采用传统方式进行保守治疗，还是应策略性拔除以准备植入牙种植体。将传统牙周、牙髓和修复治疗方法的疗效与策略性拔牙的选项进行比较。
