根分叉病变的临床诊疗思维  

Clinical diagnosis and treatment of furcation involvement

作　　者：李璐[1] 徐艳[1] Li Lu;Xu Yan(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)

机构地区：[1]南京医科大学附属口腔医院牙周病科、江苏省口腔疾病研究重点实验室、江苏省口腔转化医学工程研究中心,南京210029

出　　处：《中华口腔医学杂志》2023年第6期609-614,共6页Chinese Journal of Stomatology

基　　金：国家自然科学基金(82170962,82201072,82211530117)。

摘　　要：根分叉病变(furcation involvement)是牙周炎的病变和破坏波及多根牙的根分叉区,在该处形成牙周袋、附着丧失及牙槽骨吸收,是牙周炎较常见的伴发病变。根分叉病变程度可直接影响牙周炎预后,而根分叉区解剖结构的特异性又大大增加了根分叉病变的治疗难度。因此,根分叉病变的早期发现及治疗对牙周炎的预防和控制至关重要。本文简述根分叉病变的发生机制,重点阐述该疾病的诊断、分类及治疗,以期提高口腔医师对根分叉病变的临床诊疗水平。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.

关 键 词：牙周炎 根分叉部缺损 诊断 临床方案 根分叉病变 诊疗思维 

分 类 号：R781.42[医药卫生—口腔医学]