Compromised Teeth Preserve or Extract: A Review of the Literature

Multiple systems and associated factors have been described in the literature to assess the prognosis of teeth with periodontal disease. Nowadays there is a tendency among clinicians to consider implants as the best solution after tooth extraction, in cases of teeth with a questionable prognosis. Ho...

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Detalles Bibliográficos
Autores: Cárcamo-España, Valentina, Cuesta Reyes, Nataly, Flores Saldivar, Paul, Chimenos Küstner, Eduardo, Estrugo Devesa, Albert, López López, José, 1958-
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/210603
Acceso en línea:https://hdl.handle.net/2445/210603
Access Level:acceso abierto
Palabra clave:Lligament periodontal
Implants dentals
Pròtesis dentals
Periodontal ligament
Dental implants
Dental prosthesis
Descripción
Sumario:Multiple systems and associated factors have been described in the literature to assess the prognosis of teeth with periodontal disease. Nowadays there is a tendency among clinicians to consider implants as the best solution after tooth extraction, in cases of teeth with a questionable prognosis. However, the value of the natural tooth must be considered, as the proprioception of the periodontal ligament is preserved, and it adapts to stress during functional loads. We first review the literature focusing on analyzing the factors that should guide decision-making to maintain or extract a tooth with a compromised periodontium. Then, we propose a schematic diagram of prognostic indicators to reflect the main factors to consider and the survival rate that each one represents when preserving or extracting a tooth.