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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MDPI AG
2022-09-01
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Series: | Journal of Clinical Medicine |
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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. |
first_indexed | 2024-03-09T23:37:34Z |
format | Article |
id | doaj.art-fcb9d384968f413391f3bbc99becaf50 |
institution | Directory Open Access Journal |
issn | 2077-0383 |
language | English |
last_indexed | 2024-03-09T23:37:34Z |
publishDate | 2022-09-01 |
publisher | MDPI AG |
record_format | Article |
series | Journal of Clinical Medicine |
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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