Kinsel R P, Lamb R E, Ho D
Department of Restorative Dentistry, University of California, San Francisco, USA.
Int J Oral Maxillofac Implants. 1998 May-Jun;13(3):322-32.
Successful treatment of furcated molar teeth presents the periodontist and prosthodontist with a challenging dilemma. Accepted treatment modalities include chemotherapeutic maintenance, root planning, open flap debridement, modified Widman flap, bone grafting with and without guided tissue regeneration, and osseous resection with and without root removal. Determining the appropriate treatment for an individual patient that is both cost-effective and offers the greatest long-term prognosis can be a daunting task. The literature is replete with studies of different therapeutic alternatives for furcated molar teeth. A relatively new treatment option is complete removal of the tooth combined with ultimate placement of an endosseous implant and restoration with a single crown. A review of the relevant literature with special emphasis on root resection therapy and single molar implant placement is presented. The relative merits of each treatment modality and guidelines for their use are discussed.
分叉磨牙的成功治疗给牙周病医生和口腔修复医生带来了一个具有挑战性的两难困境。公认的治疗方式包括化学治疗维持、根面平整、开放式翻瓣清创术、改良Widman瓣、有或无引导组织再生的骨移植以及有或无根切除的骨切除术。为个体患者确定既具有成本效益又能提供最佳长期预后的合适治疗方法可能是一项艰巨的任务。文献中充斥着关于分叉磨牙不同治疗选择的研究。一种相对较新的治疗选择是完全拔除牙齿，同时最终植入骨内种植体并用单冠进行修复。本文对相关文献进行综述，特别强调根切除术治疗和单颗磨牙种植体植入。讨论了每种治疗方式的相对优点及其使用指南。
