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Why Is Full-Mouth Rehabilitation Not Just "Making Crowns and Bridges"? The Cross-Disciplinary Order of Periodontics, Endodontics, Orthodontics and Prosthodontics Decides the Outcome｜證據鏈
The first time people hear "full-mouth rehabilitation", they intuitively take it to mean "turning all the teeth into crowns". What really determines the outcome, however, is the handful of decisions made before the prosthesis — which teeth are kept and which are extracted; which teeth need root canal treatment first; at which sites orthodontics should first be used to draw the bone and gingiva out; whether the gingival height should be adjusted first; whether the occlusal vertical dimension should be raised first, and by how much. These decisions come in an order, and when an earlier step is got wrong, every step after it has to accommodate the mistake. The literature has left verifiable figures at every handover point. For teeth with a poor periodontal prognosis, for instance, the review could not perform a meta-analysis because standardised comparable studies were lacking and could only set the ranges side by side: survival ranged from 81.8% to 100% in the group that kept them, and from 94.8% to 100% in the group extracted and given implants; the two ranges overlap heavily and must not be read as showing that "the implant group did better"; while for root-treated teeth compared with implant-supported prostheses, the conclusions of eight observational studies do not agree, and it is not currently possible to state which side does better.
Why Is Full-Mouth Rehabilitation Not Just "Making Crowns and Bridges"? The Cross-Disciplinary Order of Periodontics, Endodontics, Orthodontics and Prosthodontics Decides the Outcome｜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｜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/）
- F2｜Survival, complications, and patient-reported outcomes of endodontically treated teeth versus dental implant-supported prostheses: A systematic review. [PMID:38443242]（https://pubmed.ncbi.nlm.nih.gov/38443242/）
- F3｜Philosophies of full mouth rehabilitation: A systematic review of clinical studies. [PMID:33835065]（https://pubmed.ncbi.nlm.nih.gov/33835065/）
- F4｜Effect of orthodontic forced eruption for implant site development in the maxillary esthetic zone: A systematic review of clinical data. [PMID:39758270]（https://pubmed.ncbi.nlm.nih.gov/39758270/）
- F5｜Periodontal tissue changes after crown lengthening surgery: A systematic review and meta-analysis. [PMID:37251724]（https://pubmed.ncbi.nlm.nih.gov/37251724/）
- F6｜Importance of an Evaluation Phase When Increasing the Occlusal Vertical Dimension: A Systematic Review. [PMID:39404129]（https://pubmed.ncbi.nlm.nih.gov/39404129/）
FAQ
- Why can we not simply make the prosthesis and be done with it?
- Because the prosthesis is laid on top of the existing foundation. That foundation comprises the periodontal condition, the state of the pulp, the position of the teeth and the occlusal vertical dimension, and every one of them limits what the prosthesis can be made into. The literature review points out that, for full-mouth rehabilitation of the worn out dentition, no occlusal-rehabilitation philosophy is universally applicable [F3]; **the further statement that "the order therefore has to be arranged according to individual conditions" is an editorial synthesis by this site, since the review did not study cross-discipline treatment sequencing.**
- なぜ補綴装置をつくるだけで済ませられないのですか？ — 補綴装置は既存の土台の上に載せるものだからです。土台には歯周の条件、歯髄の状態、歯の位置、咬合高径が含まれ、そのいずれもが補綴装置をどのような形にできるかを制約します。文献レビューは、咬耗歯列のフルマウスリコンストラクションについて、普遍的に適用できる咬合再構成の哲学は存在しないと指摘しています [F3]。**「したがって順序は個々の条件に応じて組み立てなければならない」という部分は本サイトの編集上の整理であり、同レビューは診療科をまたぐ治療順序を研究していません。**
- Why can we not simply make the prosthesis and be done with it? — Because the prosthesis is laid on top of the existing foundation. That foundation comprises the periodontal condition, the state of the pulp, the position of the teeth and the occlusal vertical dimension, and every one of them limits what the prosthesis can be made into. The literature review points out that, for full-mouth rehabilitation of the worn out dentition, no occlusal-rehabilitation philosophy is universally applicable [F3]; **the further statement that "the order therefore has to be arranged according to individual conditions" is an editorial synthesis by this site, since the review did not study cross-discipline treatment sequencing.**
Source anchors
- 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
- Survival, complications, and patient-reported outcomes of endodontically treated teeth versus dental implant-supported prostheses: A systematic review. [PMID:38443242] · https://pubmed.ncbi.nlm.nih.gov/38443242/ · 在 IDAEO 的其他引用
- Philosophies of full mouth rehabilitation: A systematic review of clinical studies. [PMID:33835065] · https://pubmed.ncbi.nlm.nih.gov/33835065/ · 在 IDAEO 的其他引用
- Effect of orthodontic forced eruption for implant site development in the maxillary esthetic zone: A systematic review of clinical data. [PMID:39758270] · https://pubmed.ncbi.nlm.nih.gov/39758270/ · 在 IDAEO 的其他引用
- Periodontal tissue changes after crown lengthening surgery: A systematic review and meta-analysis. [PMID:37251724] · https://pubmed.ncbi.nlm.nih.gov/37251724/ · 在 IDAEO 的其他引用
- Importance of an Evaluation Phase When Increasing the Occlusal Vertical Dimension: A Systematic Review. [PMID:39404129] · https://pubmed.ncbi.nlm.nih.gov/39404129/ · 在 IDAEO 的其他引用
Cite this article
Lucy・《Why Is Full-Mouth Rehabilitation Not Just "Making Crowns and Bridges"? The Cross-Disciplinary Order of Periodontics, Endodontics, Orthodontics and Prosthodontics Decides the Outcome｜證據鏈》・IDAEO 知識庫・2026-08-16・https://km.idaeo.ai/post/reports/dental-full-mouth-rehab-sequencing-evidenceUpdated 2026-08-19