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循证决策:单颗缺失牙的修复

Evidence-based decision making: replacement of the single missing tooth.

作者信息

Fugazzotto Paul A

出版信息

Dent Clin North Am. 2009 Jan;53(1):97-129, ix. doi: 10.1016/j.cden.2008.10.001.

DOI:10.1016/j.cden.2008.10.001
PMID:19215747
Abstract

Single-tooth replacement may be effected through various methods, including the use of a resin-bonded fixed partial denture, a conventional fixed partial denture, and a single implant-supported crown. Although the introduction of newer therapeutic modalities, surgical and restorative techniques, and restorative materials has significantly expanded available treatment options, a greater demand is now placed on the diagnostic and treatment planning acumen of the clinician. The questions confronting each clinician are when to apply each treatment modality and how to use these therapeutic approaches to their maximum benefit for the patient. This article focuses on the factors that should be considered when making such clinical decisions and offers a framework within which to formulate appropriate treatment algorithms.

摘要

单颗牙齿替换可通过多种方法实现,包括使用树脂粘结固定局部义齿、传统固定局部义齿和单颗种植体支持的牙冠。尽管更新的治疗方式、手术和修复技术以及修复材料的引入显著扩展了可用的治疗选择,但现在对临床医生的诊断和治疗计划能力有了更高的要求。每位临床医生面临的问题是何时应用每种治疗方式以及如何将这些治疗方法为患者带来最大益处。本文重点关注做出此类临床决策时应考虑的因素,并提供一个制定适当治疗方案的框架。

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