PDF(Pubmed)
Abstract：
Furcation-involved teeth, commonly seen in dental practice, have a higher likelihood of needing extraction as the severity of periodontal furcation involvement increases. Studies consistently show that periodontitis in teeth with multiple roots significantly increases the risk of tooth loss, especially in the area where the furcation is involved. These furcation defects pose a major problem for dentists because of their location, accessibility issues, and the unpredictable healing process. The biggest hurdle in treating furcation defects is their irregular shape, which makes it hard to achieve complete debridement. While various treatments have been explored, non-surgical methods have not shown much success. This article comprehensively provides a review and discussion on the classification, assessment, and treatment options, including surgical and non-surgical management of furcation-involved molar teeth. Properly understanding the severity of the disease and its confounding factors and managing and treating the lesions appropriately have been shown to impart satisfactory survival rates for these teeth. Enhancing the understanding of managing these teeth can also lead to better outcomes for patients.
摘要：
涉及分叉的牙齿，常见于牙科实践，随着牙周分叉受累的严重程度增加，需要拔除的可能性更高。研究一致表明，多根牙齿的牙周炎会显著增加牙齿脱落的风险，尤其是在涉及分叉的区域。这些分叉缺陷对牙医来说是一个主要问题，因为它们的位置，无障碍问题，和不可预测的愈合过程。治疗分叉缺陷的最大障碍是它们的不规则形状，这使得很难实现完全清创。虽然已经探索了各种治疗方法，非手术方法没有显示出很大的成功。本文对分类进行了全面的回顾和讨论，评估，和治疗选择，包括涉及分叉的磨牙的手术和非手术治疗。正确理解疾病的严重程度及其混杂因素，并适当地管理和治疗病变已被证明可以使这些牙齿获得令人满意的存活率。增强对管理这些牙齿的理解也可以为患者带来更好的结果。
