Retention of Hopeless Teeth: The Effect on the Adjacent Proximal Bone Following Periodontal Surgery

Abstract

Long-term preservation of hopeless teeth following periodontal surgery is an attainable goal with no detrimental effect on the adjacent proximal teeth.

Retrospective study of teeth with a poor prognosis following non‐surgical periodontal treatment

“…The periodontal status of teeth with a poor prognosis and adjacent teeth significantly improved after nonsurgical periodontal treatment and SPT (Table 2), and the results suggest that the teeth were clinically stable. It was reported that teeth with a poor prognosis that are retained do not significantly affect the proximal periodontium of adjacent teeth following surgical periodontal treatment (DeVore et al 1988, Wojcik et al 1992, Machtei & Hirsch 2007. These results suggest that surgi-cal or non-surgical periodontal treatment combined with SPT may not negatively affect teeth with a poor prognosis and their adjacent teeth.…”

“…It has been reported that the retention of teeth with a poor prognosis has no effect on the proximal periodontium of adjacent teeth when periodontal maintenance is performed following surgical treatment (DeVore et al 1988, Wojcik et al 1992, Machtei & Hirsch 2007. In the absence of periodontal treatment, the retention of teeth with a poor prognosis has a destructive effect on the periodontium of the adjacent teeth (Machtei et al 1989).…”

Success in periodontology: An evolutive concept

“…Severe bone loss, deep PDs, furcation involvement, tooth mobility, unfavourable crown–root ratio, root proximity or presence of abscess have been used to categorize teeth as hopeless (Becker, Becker, et al, ; McGuire & Nunn, ). Despite extraction being proposed as the treatment of choice, 77% of non‐extracted hopeless teeth were retained after a mean period of 5.25 years (Becker, Becker, et al, ) without loss of attachment of the adjacent sites (Machtei & Hirsch, ), and lower probability of tooth loss was reported for greater intrabony components (Muzzi et al, ). Regeneration, especially when combined with advancements in flap design, represented a landmark improvement towards preservation of natural dentition.…”

Dentistry and population approaches for preventing dental diseases

“…66,67 The periodontal treatment philosophies have changed towards a lower propensity for extracting the periodontally compromised teeth, following observations that 'hopeless' teeth can be retained in a functional state for many years. [68][69][70] However, it is not really known to what extent the emergence of dental implants may have mislead dentists once again to extract periodontally compromised teeth to replace them with implants.…”