de Baat C, van Loveren C, van der Maarel-Wierink C D, Witter D J, Creugers N H J
Uit de vakgroep Orale Functieleer van het Universitair Medisch Centrum St Radboud in Nijmegen.
Ned Tijdschr Tandheelkd. 2013 Jul-Aug;120(7-8):411-20.
An important aim ofa treatment with single-unit and multi-unit fixed dental prostheses is a durable and profitable treatment outcome. That requires aftercare, too. First, the frequency of routine oral examinations should be assessed, using an individual risk profile. The objectives of the routine oral examinations are the prevention and, when necessary, the treatment of pathological conditions and complications. With regard to prevention, attention should be paid to information and instruction, oral biofilm and calculus, non-functional activities, hard tooth tissues, periodontal and peri-implant tissues, and saliva. Subsequently, it can be determined whether the intended durability and profitability have been achieved or can still be achieved, whether or not through indicated adjustments. Special attention should be paid to endodontically treated teeth. Restorative, repair or replacement treatments may be indicated in case ofcomplications, such as loose single- or multi-unitfixed dental prosthesis, fracture of a fixed dental prosthesis unit, lost tooth pulp vitality, tooth root fracture, and implant or implant abutment problems.
使用单单位和多单位固定义齿进行治疗的一个重要目标是获得持久且有益的治疗效果。这也需要后续护理。首先，应根据个体风险状况评估常规口腔检查的频率。常规口腔检查的目的是预防以及在必要时治疗病理状况和并发症。在预防方面，应关注信息与指导、口腔生物膜和牙石、非功能性活动、硬组织牙齿、牙周和种植体周围组织以及唾液。随后，可以确定预期的耐用性和有益性是否已经实现，或者是否仍可通过适当调整来实现。应特别关注经过牙髓治疗的牙齿。如果出现并发症，如单单位或多单位固定义齿松动、固定义齿部件骨折、牙髓活力丧失、牙根骨折以及种植体或种植体基台问题等，可能需要进行修复、修补或替换治疗。
