JUNIPER PUBLISHERS-Juniper Online Journal of Case Studies
Periodontally Compromised Teeth: to Retain or Replace with Implant
Authored by Madhuri Alankar
Sawai*
Periodontal disease is the most
common form of oral destructive disease which eventually leads to the loss of
tooth. It affects about 40-50% of the population worldwide. Its prevalence
increases with increasing age. Hence, as the life span of an individual
increases; there will be increased prevalence of periodontally compromised
teeth. In the beginning of the 20th century, extracted teeth were replaced with
dentures. But in the recent past they are increasing being replaced by
implants. Although, osseointegrated implants were first introduced for the
management of completely edentulous arches, they are now being frequently used
to restore partially edentulous jaws. In the recent years, there has been an increased
surge for extraction of periodontally compromised teeth and replacement with
implants. Many of these natural teeth could be treated and salvaged for the
next couple of years, if proper treatment is instituted. Hence, to extract a
periodontally compromised tooth and its subsequent replacement with implant, as
opposed to its retention by means of comprehensive periodontal therapy is one
of the most debatable and complex decision to make in daily clinical practice.
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