Iqbal Mian
Advanced Dental Education, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Gen Dent. 2009 Nov-Dec;57(6):606-15.
Osseointegrated implants have affected the decision-making process for prosthodontic, periodontic, and endodontic treatment planning. As a result, the traditional endodontic care model has undergone a paradigm shift. As with any emerging technology, there is concern that the initial enthusiasm surrounding implants could supersede quality of patient care issues, especially since there is no consensus about whether it is better to restore or replace a compromised tooth. The results of a number of meta-analyses show no statistical difference in terms of the long-term outcomes for single -tooth implants and endodontically treated teeth. Obviously, the decision to treat a tooth endodontically or replace it with a single-tooth implant should be based on other criteria. This article compares how certain variables affect the outcome of cases in which teeth are treated using either root canal treatment or single-tooth implants and explores the beneficial synergistic relationship between these two viable alternatives.
骨结合种植体已经影响了口腔修复学、牙周病学和牙髓病学治疗计划的决策过程。因此，传统的牙髓治疗模式已经发生了范式转变。与任何新兴技术一样，人们担心围绕种植体的最初热情可能会取代患者护理质量问题，特别是因为对于修复还是替换一颗受损牙齿哪种更好尚无共识。多项荟萃分析的结果表明，单颗牙齿种植体和经牙髓治疗的牙齿的长期效果在统计学上没有差异。显然，对牙齿进行牙髓治疗或用单颗牙齿种植体替换的决定应该基于其他标准。本文比较了某些变量如何影响使用根管治疗或单颗牙齿种植体治疗牙齿的病例结果，并探讨了这两种可行替代方案之间有益的协同关系。
