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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Main Authors: Valentina Cárcamo-España, Nataly Cuesta Reyes, Paul Flores Saldivar, Eduardo Chimenos-Küstner, Alberto Estrugo Devesa, José López-López
Format: Article
Language:English
Published: MDPI AG 2022-09-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/11/18/5301
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author Valentina Cárcamo-España
Nataly Cuesta Reyes
Paul Flores Saldivar
Eduardo Chimenos-Küstner
Alberto Estrugo Devesa
José López-López
author_facet Valentina Cárcamo-España
Nataly Cuesta Reyes
Paul Flores Saldivar
Eduardo Chimenos-Küstner
Alberto Estrugo Devesa
José López-López
author_sort Valentina Cárcamo-España
collection DOAJ
description 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.
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spelling doaj.art-fcb9d384968f413391f3bbc99becaf502023-11-23T16:58:21ZengMDPI AGJournal of Clinical Medicine2077-03832022-09-011118530110.3390/jcm11185301Compromised Teeth Preserve or Extract: A Review of the LiteratureValentina Cárcamo-España0Nataly Cuesta Reyes1Paul Flores Saldivar2Eduardo Chimenos-Küstner3Alberto Estrugo Devesa4José López-López5Department of Oral Medicine, Faculty of Medicine and Health Sciences (Dentistry), University of Barcelona Dental Hospital, University of Barcelona, 08907 Barcelona, SpainDepartment of Oral Medicine, Faculty of Medicine and Health Sciences (Dentistry), University of Barcelona Dental Hospital, University of Barcelona, 08907 Barcelona, SpainDepartment of Oral Medicine, Faculty of Medicine and Health Sciences (Dentistry), University of Barcelona Dental Hospital, University of Barcelona, 08907 Barcelona, SpainDepartment of Odontostomatology and Oral Medicine, Faculty of Medicine and Health Sciences (Dentistry), University of Barcelona Dental Hospital, University of Barcelona, 08907 Barcelona, SpainDepartment of Odontostomatology and Oral Medicine, Faculty of Medicine and Health Sciences (Dentistry), University of Barcelona Dental Hospital, University of Barcelona, 08907 Barcelona, SpainDepartment of Odontostomatology and Oral Medicine, Faculty of Medicine and Health Sciences (Dentistry), University of Barcelona Dental Hospital, University of Barcelona, 08907 Barcelona, SpainMultiple 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.https://www.mdpi.com/2077-0383/11/18/5301periodontal tissueprognosispermanent teethperiodontal dentistry
spellingShingle Valentina Cárcamo-España
Nataly Cuesta Reyes
Paul Flores Saldivar
Eduardo Chimenos-Küstner
Alberto Estrugo Devesa
José López-López
Compromised Teeth Preserve or Extract: A Review of the Literature
Journal of Clinical Medicine
periodontal tissue
prognosis
permanent teeth
periodontal dentistry
title Compromised Teeth Preserve or Extract: A Review of the Literature
title_full Compromised Teeth Preserve or Extract: A Review of the Literature
title_fullStr Compromised Teeth Preserve or Extract: A Review of the Literature
title_full_unstemmed Compromised Teeth Preserve or Extract: A Review of the Literature
title_short Compromised Teeth Preserve or Extract: A Review of the Literature
title_sort compromised teeth preserve or extract a review of the literature
topic periodontal tissue
prognosis
permanent teeth
periodontal dentistry
url https://www.mdpi.com/2077-0383/11/18/5301
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