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Should we extract teeth to avoid tooth-implant combinations?

T Lindh1

  • 1Umeå University, Faculty of Medicine/Odontology, Department of Periodontology, Umeå, Sweden. lindh@odont.umu.se

Journal of Oral Rehabilitation
|January 10, 2008
PubMed
Summary
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Do not extract healthy teeth for dental implants. Tooth-implant prostheses offer a reliable option when teeth have good periodontal support, pulpal status, and low risk for complications.

Area of Science:

  • Dentistry
  • Prosthodontics
  • Dental Implantology

Background:

  • The long-standing debate on combining natural teeth and dental implants for fixed partial denture support continues.
  • Assessing the evidence for tooth extraction in favor of implants and comparing tooth-implant prostheses to implant-only restorations is crucial.

Purpose of the Study:

  • To review existing literature supporting tooth extraction for implant placement.
  • To determine if tooth-implant supported prostheses are inferior to implant-only supported constructions regarding survival and complications.

Main Methods:

  • Conducted comprehensive electronic searches on PubMed using relevant keywords.
  • Performed complementary manual searches within the retrieved publications to ensure thoroughness.

Related Experiment Videos

Main Results:

  • No scientific support found for extracting healthy teeth to place dental implants.
  • Healthy teeth demonstrate lifelong survival, a longevity not yet proven for dental implants.
  • Tooth-implant prostheses can be endorsed in specific situations with adequate scientific evidence, offering a reliable therapeutic option.

Conclusions:

  • Extraction of healthy teeth for dental implants is not recommended without specific indications.
  • Tooth-implant supported prostheses are a viable prosthetic option, provided abutment teeth have favorable periodontal status, pulpal health, and low risk for caries and biomechanical issues.