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对于一个牙髓病患牙的治疗,可以是根管治疗术加充填修复的传统方法,可以是拔除。拔除后既可采用种植体支持的单冠牙修复,也可以采用固定或活动义齿的修复。究竟选择哪一种治疗方案,取决于患牙部位的许多具体情况,整个口腔的状况以及与患者,医生相关因素。确定治疗方案还应综合考虑远期保存率,成功率,成本-效益,成本-效果等。大量近期文献较为一致的观点是:如果可能的话,根管治疗术加充填修复的传统方法是首选方案。这种治疗方案在日后需要的时候也能改为其他方案。需要复杂治疗,且预后不好的牙齿可考虑拔除。拔除后可以采用种植体支持的单冠牙修复,也可采用2个或3个单位的义齿修复。选择治疗方案时要考虑到近、远期效果,修复体的日常维护以及各种方案所需的费用。这些都必须充分地告知患者。牙科医生在治疗方案的选择时,切忌只考虑经济效益。
The treatment of an endodontic tooth may be a conventional method of root canal therapy plus filling repair, which may be removal. After removal of the implant can be used to support a single crown repair, you can also use fixed or removable denture repair. Which treatment to choose depends on many specific aspects of the affected area, the condition of the entire oral cavity, and factors associated with the patient and the doctor. Determine the treatment program should also consider the long-term preservation rate, success rate, cost-effectiveness, cost-effectiveness and so on. A large number of recent articles agree that the traditional method of root canal therapy plus filling repair is the preferred option if possible. This treatment plan can be changed to other options when needed in the future. Need complex treatment, and poor prognosis of the teeth may be considered removal. After removal, the implant can be used to support a single crown repair, but also can be used 2 or 3 units of denture repair. Select the treatment options to take into account the near and long-term effects, the routine maintenance of the restoration and the cost of various programs. All of these must be adequately informed to the patient. Dentists in the treatment options, should not only consider the economic benefits.