Fugazzotto Paul A, Hains Frederick O
Tufts University, Boston, Massachusetts, USA.
Compend Contin Educ Dent. 2012 Jul-Aug;33(7):494-6, 498, 500 passim; quiz 507, 510.
When contemplating removal of a premolar or molar and its immediate replacement with an implant-supported prosthesis, the feasibility of other potentially less "aggressive" treatment approaches must first be considered. Treatment decisions must be made in the context of an appropriate definition of therapeutic success. Replacement of hopeless mandibular molars with implant restorations has undergone significant evolution since the introduction of osseointegrated implants some 30 years ago. Over the past decade, various treatment approaches have been advocated. This article discusses these approaches and other considerations needed for implant placement at the time of mandibular molar extraction.
在考虑拔除前磨牙或磨牙并用种植体支持的修复体立即进行替代时,必须首先考虑其他潜在侵入性较小的治疗方法的可行性。治疗决策必须在对治疗成功进行适当定义的背景下做出。自大约30年前引入骨结合种植体以来,用种植修复体替代无望的下颌磨牙已经历了重大发展。在过去十年中,人们提倡了各种治疗方法。本文讨论了这些方法以及在下颌磨牙拔除时进行种植体植入所需的其他注意事项。