Practice abstract
British Dental Journal 202, 63 - 72 (2007)
doi:10.1038/bdj.2007.23
Subject Category: Implants
Factors that affect individual tooth prognosis and choices in contemporary treatment planning
N. Mordohai1, M. Reshad2, S. Jivraj3 and W. Chee4
- Attaining an accurate prognosis of periodontally involved teeth is problematic.
- The reporting of success rates in endodontic literature is confused by the definition of 'success/failure'.
- Heroic attempts to maintain teeth with poor prognosis should be questioned. Implants should not be 'the last resort' and only used when all conventional therapies have failed.
Implants
- Rationale for dental implants
- Treatment planning of implants in posterior quadrants
- Treatment planning of implants in the aesthetic zone
- Surgical guidelines for dental implant placement
- Immediate implant placement: treatment planning and surgical steps for successful outcomes
- Treatment planning of the edentulous maxilla
- Treatment planning of the edentulous mandible
- Impressions techniques for implant dentistry
- Screw versus cemented implant supported restorations
- Designing abutments for cement retained implant supported restorations
- Connecting implants to teeth
- Transitioning a patient from teeth to implants
- The role of orthodontics in implant dentistry
- Interdisciplinary approach to implant dentistry
- Factors that affect individual tooth prognosis and choices in contemporary treatment planning
- Maintenance and failures
Abstract
A clinician evaluates a tooth for its quality of health. Once accomplished an estimate of longevity and survival is estimated. With current knowledge about the survival and success of implants a decision is made as to whether to extract or to treat and maintain the tooth. Questions and doubts abound in the decision making process in regards to the prognosis of an individual tooth. Unfortunately in dentistry, as in all biologic sciences, there are no straightforward answers to questions. This article will attempt to review the literature in this area to aid the practitioner in the decision making process with regards to the compromised tooth. The article will focus on the single tooth or implant restoration. Other factors such as the strategic value of a tooth and financial limitations in relation to long-term prognosis will also be discussed.
- Resident Advanced Prosthodontics, USC School of Dentistry, 925 West 34th St, Rm 116, Los Angeles, CA 90089, USA
- Resident Advanced Prosthodontics, USC School of Dentistry, 925 West 34th St, Rm 116, Los Angeles, CA 90089, USA
- Chairman, Section of Fixed Prosthodontics and Operative Dentistry, University of Southern California School of Dentistry / Private Prosthodontics Practitioner, Burbank, California, USA
- Ralph W. and Jean L. Bleak Professor of Restorative Dentistry, Director of Implant Dentistry at the University of Southern California School of Dentistry / Private Prosthodontics Practitioner, Pasadena, California, USA
Correspondence to: N. Mordohai1
73 Ermou Street, Thessaloniki, 54623, Greece
e-mail: nmordohai@hotmail.com
