Parirokh Masoud, Zarifian Ahmadreza, Ghoddusi Jamileh
Endodontology Research Center, Dental School, Kerman University of Medical Sciences, Kerman, Iran;
Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran ;
Iran Endod J. 2015 Summer;10(3):152-5. doi: 10.7508/iej.2015.03.001. Epub 2015 Jul 1.
Case selection and treatment plan are important aspects of endodontic treatment. Dentists should organize the treatment plan based on their knowledge, abilities, skills and more importantly the patients' preference and dentition. Indubitably, the treatment plan for each patient is exclusive and "tailor-made" and cannot be used for all patients. Dentists' selfestimation of their abilities opens up treatment options; however, in difficult or complicated cases it is advisable to refer to a specialist. Currently, one of the most challenging aspects in dentistry is the choice between extraction and placement of implant (EPI) instead of a complicated root canal treatment (RCT). Overemphasis on one treatment plan while neglecting other options, not only mislead the dentist but also impose unnecessary charges to the patients. This mini-review compares RCT to EPI from various aspects to help practitioners in routine decision making.
病例选择和治疗计划是牙髓治疗的重要方面。牙医应根据自己的知识、能力、技能,更重要的是患者的偏好和牙列情况来制定治疗计划。毫无疑问,每个患者的治疗计划都是独一无二且“量身定制”的,不能适用于所有患者。牙医对自身能力的自我评估为治疗提供了选择;然而,在困难或复杂的病例中,最好咨询专科医生。目前,牙科领域最具挑战性的方面之一是在拔牙和种植体植入(EPI)之间做出选择,而不是进行复杂的根管治疗(RCT)。过度强调一种治疗计划而忽视其他选择,不仅会误导牙医,还会给患者带来不必要的费用。这篇小型综述从各个方面将根管治疗与拔牙和种植体植入进行比较,以帮助从业者在日常决策中做出选择。