Int J Stomatol

Int J Stomatol ›› 2020, Vol. 47 ›› Issue (2): 125-130.doi: 10.7518/gjkq.2020053

• Expert Forum •     Next Articles

The retention of severe periodontitis-involved tooth

Chen Bin1,Xu Rongrong2,Zhang Jiading1,Yan Fuhua1()   

  1. 1. Dept. of Periodontology, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing 210008, China
    2. Dept. of Operative Dentistry and Endodontics, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing 210008, China
  • Received:2019-10-10 Revised:2019-12-12 Online:2020-03-01 Published:2020-03-12
  • Contact: Fuhua Yan E-mail:fhyan2005@126.com
  • Supported by:
    This study was supported by Nanjing Medical Science and Technology Development Fund(QRX17176)

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Abstract:

Severe periodontitis-involved teeth, especially those considered as “prognosis hopeless”, are a common and important problem that plagues dentists. Clinicians should not make abrupt extraction decisions but rather carefully perform clinical examination, fully communicate with the patient, explore the correct etiological factors, and analyze the favorable and unfavorable factors according to the specific conditions of the patient. Patient’s willingness, compliance, and financial ability should also be considered. This review begins with three typical cases, including simple severe periodontitis-affected teeth, primary periodontal lesion with secondary endodontic involvement teeth, and teeth with “true combined periodontal-endodontic lesion.” The decision-making process of tooth extraction or retention in patients with severe periodontitis was also discussed to serve as future reference.

Key words: severe periodontitis, combined periodontal-endodontic lesion, tooth retention, extraction decision, treatment plan

CLC Number: 

  • R781.4

TrendMD: 

Fig 1

Oral panoramic radiographs of patient 1 at different times"

Fig 2

Radiographic results before and after treatment of patient 2"

Fig 3

Periodontal chart at the initial visit of patient 3 (Florida probe) "

Fig 4

Radiographic results before and after treatment of patient 3"

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