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作 者:郑宝玉[1] 邓辉[1] ZHENG Baoyu;DENG Hui(Department of Periodontics,Hospital of Stomatology,Wenzhou Medical University,Wenzhou 325027,China)
机构地区:[1]温州医科大学附属口腔医院牙周科,浙江温州325027
出 处:《温州医科大学学报》2024年第5期413-419,共7页Journal of Wenzhou Medical University
基 金:温州市重大科技创新攻关项目(ZY2022020)。
摘 要:根分叉病变是指牙周炎病变累及多根牙根分叉区,在该处出现牙周袋、附着丧失和牙槽骨吸收。由于根分叉区的特殊解剖条件,给彻底清创带来很大困难,加之发病因素复杂,造成根分叉病变病情进展快,治疗难度大,伴有根分叉病变的患牙失牙率较一般牙高。因此,根分叉病变的早期发现、准确评估和规范治疗对疾病防治十分重要。笔者总结国内外经典和时新的根分叉病变相关研究,对根分叉病变检查评估和治疗做一综述,以期提高临床医师对根分叉病变的诊疗水平。Furcation involvement is the periodontal lesion involving the root furcation area of multi‑root teeth,where periodontal pockets,attachment loss and alveolar bone resorption occur.The special anatomical structure of the root furcation area makes it very difficult to do the thorough debridement.In addition,the complex pathogenic factors lead to rapid progression of furcation involvement,making the treatment difficult.The loss rate of teeth with furcation involvement is higher than that of ordinary teeth.Therefore,early detection,accurate evaluation,and standardized treatment of furcation involvement is crucial for the prevention and control of periodontitis.This review summarizes the classical and recent researches home and abroad on the evaluation and treatment of furcation involvement,which is helpful to improve the clinical diagnosis and treatment of furcation involvement.
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