Tooth preservation and "the treatable or hopeless tooth": Re-thinking a concept / Zahnerhaltung und «Der behandlungsunwürdige oder hoffnungslose Zahn¼: Ein Konzept, das man überdenken sollte?
Swiss Dent J
; 134(3)2024 08 07.
Article
en De
| MEDLINE
| ID: mdl-39109624
ABSTRACT
The masticatory organ is at the center of dental practice. Tooth loss, regarded as an organ failure, is a core dispute in our profession, as it more often than not does not happen spon-taneously but is influenced by the dentist's treatment plan. Despite the prosthetic possibili-ties of tooth replacement, efforts should be made to preserve as many teeth as possible. Decisions between tooth preservation and extraction are complex and have far-reaching consequences. This article discusses this problem using a clinical case study of a 43-year-old female patient with pronounced localized periodontitis. After a comprehensive diagnosis and treatment planning, a daring regenerative therapy was carried out to try to preserve the tooth. The case shows that even seemingly hopeless teeth can be successfully treated syn-chronously using modern therapeutic approaches. Initial literature data supports the possi-bility of preserving severely compromised teeth in the long term in compliant patients. An integrative treatment approach based on individual patient factors and modern regenerative techniques may well be a viable alternative to tooth extraction and prosthetic restoration, albeit not inexpensive and uncomplicated. This communication emphasizes the need for precise diagnostics, a comprehensive treatment plan, and honest communication with pa-tients about the prospects of success and possible risks, and highlights the strengths of con-sistent tooth preservation.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Pérdida de Diente
Límite:
Adult
/
Female
/
Humans
/
Male
Idioma:
De
Revista:
Swiss Dent J
Año:
2024
Tipo del documento:
Article
Pais de publicación:
Suiza