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[根分叉病变的临床诊断与治疗]

[Clinical diagnosis and treatment of furcation involvement].

作者信息

Li L, Xu Y

机构信息

Department of Periodontics, The Affiliated Stomatological Hospital of Nanjing Medical University & Jiangsu Province Key Laboratory of Oral Diseases & Jiangsu Province Engineering Research Center of Stomatological Translational Medicine, Nanjing 210029, China.

出版信息

Zhonghua Kou Qiang Yi Xue Za Zhi. 2023 Jun 9;58(6):609-614. doi: 10.3760/cma.j.cn112144-20230317-00090.

Abstract

Furcation involvement (FI) is the lesion and destruction of periodontium that spread to the root furcation of multi-root teeth, where periodontal pockets, loss of periodontal attachment and resorption of alveolar bone are formed. Furcation involvement is a common concomitant lesion of periodontitis. The severity of furcation involvement can directly affect the prognosis of periodontitis. However, the specificity of the anatomical structure of the root furcation greatly increases the difficulty of treatment. Therefore, early detection and treatment of furcation involvement is crucial for the prevention and control of periodontitis. This paper briefly describes the pathogenesis of furcation involvement and discusses the diagnosis, classification and treatment of this disease, which is helpful to improve the clinical diagnosis and treatment of furcation involvement.

摘要

根分叉病变(FI)是指牙周组织的病变和破坏蔓延至多根牙的根分叉区,在此形成牙周袋、牙周附着丧失和牙槽骨吸收。根分叉病变是牙周炎常见的伴发病变。根分叉病变的严重程度可直接影响牙周炎的预后。然而,根分叉区解剖结构的特殊性大大增加了治疗难度。因此,早期发现和治疗根分叉病变对于牙周炎的防治至关重要。本文简要描述了根分叉病变的发病机制,并探讨了该病的诊断、分类和治疗,有助于提高根分叉病变的临床诊治水平。

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