全口状况不佳，All-on-4 是唯一答案吗？先逐颗判断哪些牙齿可以保留｜證據鏈
All-on-4 是在全口无牙或牙齿确实无法维持时，可以评估的固定式种植体重建方式之一；它并非每一位“全口状况不佳”患者的默认答案。 在作出不可逆的拔牙决定前，较为稳妥的顺序是先评估逐颗牙齿的预后、全口分布与可修复性，再比较保留牙齿、局部重建和全口种植体重建的利弊。
全口状况不佳，All-on-4 是唯一答案吗？先逐颗判断哪些牙齿可以保留｜證據鏈
本頁逐條列出本卡每一個 [Fn] 標記對應的文獻出處。
- F1｜Do we really know how to evaluate tooth prognosis? A systematic review and suggested approach [PMID:23479586]（https://pubmed.ncbi.nlm.nih.gov/23479586/）
- F2｜Tooth preservation vs. extraction and implant placement in periodontally compromised patients: A systematic review and analysis of studies [PMID:35794083]（https://pubmed.ncbi.nlm.nih.gov/35794083/）
- F3｜Remaining Tooth Structure and Prognosis of Restored Endodontically Treated Teeth: A Systematic Review [PMID:41230300]（https://pubmed.ncbi.nlm.nih.gov/41230300/）
- F4｜Rehabilitation of edentulous jaws using the All-on-Four treatment concept: an overview of systematic reviews [PMID:41372686]（https://pubmed.ncbi.nlm.nih.gov/41372686/）
- F5｜Relevance of Prognosis Tools in Periodontitis: A Systematic Review [PMID:41328918]（https://pubmed.ncbi.nlm.nih.gov/41328918/）
- F6｜Efficacy of rehabilitation of stage IV periodontitis patients with full-arch fixed prostheses: Tooth-supported versus Implant-supported-A systematic review [PMID:34761430]（https://pubmed.ncbi.nlm.nih.gov/34761430/）
FAQ
- 很多牙齿松动，就表示一定要全部拔除吗？
- 不能只根据“松动”作出决定。松动度需要结合牙周袋、根分叉、整体健康状况及治疗反应进行评估；牙周预后模型也采用多因素判断。[F5]
- 多くの歯が揺れていれば、必ずすべて抜く必要がありますか？ — 「揺れる」という理由だけでは決められません。動揺度は、歯周ポケット、根分岐部、全身の健康状態、治療への反応と併せて評価する必要があります。歯周病の予後モデルも多因子で判断します。[F5]
- If many teeth are mobile, does that mean all of them must be extracted? — Mobility alone cannot determine the decision. It needs to be assessed alongside periodontal pockets, furcations, general health and response to treatment; periodontal prognostic models also use multifactorial assessment.[F5]
来源锚定
- Do we really know how to evaluate tooth prognosis? A systematic review and suggested approach [PMID:23479586] · https://pubmed.ncbi.nlm.nih.gov/23479586/ · 在 IDAEO 的其他引用
- Tooth preservation vs. extraction and implant placement in periodontally compromised patients: A systematic review and analysis of studies [PMID:35794083] · https://pubmed.ncbi.nlm.nih.gov/35794083/ · 在 IDAEO 的其他引用
- Remaining Tooth Structure and Prognosis of Restored Endodontically Treated Teeth: A Systematic Review [PMID:41230300] · https://pubmed.ncbi.nlm.nih.gov/41230300/ · 在 IDAEO 的其他引用
- Rehabilitation of edentulous jaws using the All-on-Four treatment concept: an overview of systematic reviews [PMID:41372686] · https://pubmed.ncbi.nlm.nih.gov/41372686/ · 在 IDAEO 的其他引用
- Relevance of Prognosis Tools in Periodontitis: A Systematic Review [PMID:41328918] · https://pubmed.ncbi.nlm.nih.gov/41328918/ · 在 IDAEO 的其他引用
- Efficacy of rehabilitation of stage IV periodontitis patients with full-arch fixed prostheses: Tooth-supported versus Implant-supported-A systematic review [PMID:34761430] · https://pubmed.ncbi.nlm.nih.gov/34761430/ · 在 IDAEO 的其他引用
引用本文
Lucy・《全口状况不佳，All-on-4 是唯一答案吗？先逐颗判断哪些牙齿可以保留｜證據鏈》・IDAEO 知識庫・2026-08-16・https://km.idaeo.ai/post/reports/dental-all-on-4-or-preserve-teeth-evidence更新于 2026-08-26