Journal of Japanese Society of Oral Implantology
Online ISSN : 2187-9117
Print ISSN : 0914-6695
ISSN-L : 0914-6695
Special Articles
Reconsideration of the Criteria for Extraction : From the Standpoint of Periodontology
Tetsuya MIZUKAMI
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JOURNAL FREE ACCESS

2018 Volume 31 Issue 4 Pages 280-288

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Abstract

Determining whether to extract teeth has been a problem in dental therapy to date. Many patients do not visit a dental office to have their teeth extracted in the first place, but to resolve toothache or swelling, or to recover masticatory function. The accumulated know-how and mid- to long-term successful prognosis of implant therapy have spurred indications for dental implant. Moreover, as techniques and mid- to long-term successful prognosis of treatment have improved, periodontology has met patients' expectations and raised their hope for retaining their own teeth. Those two outcomes have made it much harder to determine whether to extract teeth. We must perform appropriate implant therapy for the indicated tooth-extracted site while trying to retain the natural teeth as long as possible. Determining whether to extract a tooth that is suffering progressive periodontal disease requires a comprehensive evaluation of periodontal parameters, prosthetic design and the patient's psychology.

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© 2018 Japanese Society of Oral Implantology
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