植牙與自然齒列：補綴學觀點

Implant vs. Tooth:Prosthodontic consideration

陸泰年(Tai-Nien Lu)

《中華民國牙周病醫學會雜誌》 9卷附冊 (2004/07) Pp. s17-s24

摘要

保留自然牙齒或是以植體取代，對大多數臨床醫師而言是相當困難的決定，想盡辦法去治療自然牙齒一直以來就是牙科最基本的工作，但是近年來因為植牙其長期成功率的提高，很多以前會考慮設法保留的牙齒就需要重新評估。本篇文章嘗試主要從補綴學的角度討論使用植牙取代有疑問的牙齒時的危險因素，特別強調最終補綴物的美觀及功能應該在一開始就必需評估以及小心計劃，若不適合則應重新考慮保留牙齒。

關鍵字

自然牙齒 ； 人工植牙

並列摘要

To save natural teeth or to place implants, it is always a difficult decision for the most clinicians. The concepts of saving natural teeth whenever possible have been a fundamental principle of dentistry. However, many studies have confirmed an excellent long-term prognosis for implant treatment. Attempts to save the questionable teeth may not be as necessary as in the past, and should be reconsidered and evaluated for the optimal treatment plan. This paper tries to discuss the risk factors of replacing the compromised teeth with osseointegrated implants from the Prosthetics view. It is emphasized that esthetics and function of the final implant-supported restorations must be considered and planned in the beginning. If risk factors of the implant can not be resolved, preservation of the tooth would be considered the treatment of choice.

並列關鍵字

natural tooth ； dental implant