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A Novel Decision-Making Process for Tooth Retention or Extraction

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A Novel Decision-Making Process for Tooth Retention or Extraction

Auteurs : Gustavo Avila [États-Unis] ; Pablo Galindo-Moreno [Espagne] ; Stephen Soehren [États-Unis] ; Carl E. Misch [États-Unis] ; Thiago Morelli [États-Unis] ; Hom-Lay Wang [États-Unis]

Source :

Journal of periodontology [ 0022-3492 ] ; 2009.

RBID : Pascal:09-0152672

Descripteurs français

Pascal (Inist)
- Parodontopathie, Prise de décision, Denture, Dent, Rétention, Extraction, Implant, Dentisterie.
Wicri :
- topic : Prise de décision.

English descriptors

KwdEn :
- Decision making, Dentistry, Extraction, Implant, Periodontal disease, Retention, Teeth, Tooth.

Abstract

Background: Implant-supported restorations have become the most popular therapeutic option for professionals and patients for the treatment of total and partial edentulism. When implants are placed in an ideal position, with adequate prosthetic loading and proper maintenance, they can have success rates >90% over 15 years of function. Implants may be considered a better therapeutic alternative than performing more extensive conservative procedures in an attempt to save or maintain a compromised tooth. Inadequate indication for tooth extraction has resulted in the sacrifice of many sound savable teeth. This article presents a chart that can assist clinicians in making the right decision when they are deciding which route to take. Methods: Articles published in peer-reviewed English journals were selected using several scientific databases and subsequently reviewed. Book sources were also searched. Individual tooth- and patient-related features were thoroughly analyzed, particularly when determining if a tooth should be indicated for extraction. Results: A color-based decision-making chart with six different levels, including several factors, was developed based upon available scientific literature. The rationale for including these factors is provided, and its interpretation is justified with literature support. Conclusion: The decision-making chart provided may serve as a reference guide for dentists when making the decision to save or extract a compromised tooth.

Affiliations:

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Le document en format XML

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<author><name sortKey="Avila, Gustavo" sort="Avila, Gustavo" uniqKey="Avila G" first="Gustavo" last="Avila">Gustavo Avila</name>
<affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Graduate Periodontics, School of Dentistry, University of Michigan</s1>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">A Novel Decision-Making Process for Tooth Retention or Extraction</title>
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<author><name sortKey="Galindo Moreno, Pablo" sort="Galindo Moreno, Pablo" uniqKey="Galindo Moreno P" first="Pablo" last="Galindo-Moreno">Pablo Galindo-Moreno</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Decision making</term>
<term>Dentistry</term>
<term>Extraction</term>
<term>Implant</term>
<term>Periodontal disease</term>
<term>Retention</term>
<term>Teeth</term>
<term>Tooth</term>
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<keywords scheme="Pascal" xml:lang="fr"><term>Parodontopathie</term>
<term>Prise de décision</term>
<term>Denture</term>
<term>Dent</term>
<term>Rétention</term>
<term>Extraction</term>
<term>Implant</term>
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<front><div type="abstract" xml:lang="en">Background: Implant-supported restorations have become the most popular therapeutic option for professionals and patients for the treatment of total and partial edentulism. When implants are placed in an ideal position, with adequate prosthetic loading and proper maintenance, they can have success rates >90% over 15 years of function. Implants may be considered a better therapeutic alternative than performing more extensive conservative procedures in an attempt to save or maintain a compromised tooth. Inadequate indication for tooth extraction has resulted in the sacrifice of many sound savable teeth. This article presents a chart that can assist clinicians in making the right decision when they are deciding which route to take. Methods: Articles published in peer-reviewed English journals were selected using several scientific databases and subsequently reviewed. Book sources were also searched. Individual tooth- and patient-related features were thoroughly analyzed, particularly when determining if a tooth should be indicated for extraction. Results: A color-based decision-making chart with six different levels, including several factors, was developed based upon available scientific literature. The rationale for including these factors is provided, and its interpretation is justified with literature support. Conclusion: The decision-making chart provided may serve as a reference guide for dentists when making the decision to save or extract a compromised tooth.</div>
</front>
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A Novel Decision-Making Process for Tooth Retention or Extraction

A Novel Decision-Making Process for Tooth Retention or Extraction

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

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