🔗 IDA SENTENCE ANALYSIS

重度牙周病牙根其實早就佈滿了牙結石 — sentence-by-sentence verification

康橋牙醫診所　·　Source page www.topimplant.com.tw/periodontal-root ↗　·　c　·　5 statements verified　·　← Back to analysis index

Provable

Partly supported

Pending

Contradicted

What this page measures: whether each outward-facing statement on this article can be supported by dental research literature. Provable and partly-supported statements carry real PubMed references; pending and contradicted ones are marked only as "examined but insufficient / counter-evidence found", with no claim of support. The analysed content itself lives on source page ↗.

🔗 Sentence-by-sentence analysis (5 statements)

DNT-17C31BC9AFEF

重度牙周病牙根其實早就佈滿了牙結石，只是我們可以看到的牙冠還完好而已，也就是所謂的「金玉其外，敗絮其中」。

○ Pending (insufficient evidence; no claim of support)

10 candidate paper(s) examined; evidence insufficient to support this statement; still needed: claim 描述重度牙周病牙根佈滿結石而牙冠完好，evidence 未涉及

DNT-AED6EC9A39EC

在一開始牙結石還在表面的時候，洗牙就好，即便有些深入，做牙根整平術也可以，如果真的有點嚴重，強忍著還不就醫，就需要做牙周翻瓣手術了，如果再不治療，下次就醫，就得直接拔牙了。

○ Pending (insufficient evidence; no claim of support)

10 candidate paper(s) examined; evidence insufficient to support this statement; still needed: 牙結石在表面時洗牙即可，深入時做牙根整平術，嚴重時需牙周翻瓣手術，再不治療就得拔牙。

DNT-7F2E61998CA7

主要原因有兩個，第一個是牙周病容易侵蝕齒槽骨，植牙療程基本上都會持續一段時間，如果是極輕度牙周病，還可能邊治療邊安排植牙，如果是重度牙周病，齒槽骨都被吃掉了，根本不可能有辦法讓植體安穩著陸，即便進行補骨粉手術，在有牙周病的情況下，齒槽骨也是長不出來的。

○ Pending (insufficient evidence; no claim of support)

10 candidate paper(s) examined; evidence insufficient to support this statement; still needed: claim about periodontitis eroding alupstreamlar bone, feasibility of implant placement, and failure of bone graft in periodontitis

DNT-73BC097468D0

再來就是即使輕度牙周病沒有影響到齒槽骨，就算植牙過程中也真的沒有惡化，還是可能會出現問題：原因是植牙植體不如健康牙根，在抵抗病菌的能力上幾乎為零，所以一旦牙周殘留著病菌，很快就會引發植體周圍炎，嚴重的話，植體可能會自動脫落，即便不脫落，為了治療植體周圍炎，可能也得先移除植體。

◐ Partly supported (scope noted below)

Generalized aggressive periodontitis as a risk factor for dental implant failure: a systematic review and meta-analysis.Journal of periodontology · 2014 · PMID 24835415

Supported scope: 侵襲性牙周炎患者植牙失敗風險顯著較高

DNT-02A6D0C31DC0

為了避免以上情況，一般都是先治好牙周病，再進行植牙，除非牙周病較輕微，且受到嚴密的控制病情、避免惡化。

◐ Partly supported (scope noted below)

Hierarchical decisions on teeth vs. implants in the periodontitis-susceptible patient: the modern dilemma.Periodontology 2000 · 2012 · PMID 22507062

Supported scope: 牙周病易感患者在植牙前應先進行足夠的牙周治療