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Published on: January 23, 2017
A commentary on strategic extraction
Richard T Kao1,2, Guo-Hao Lin1, Yvonne Kapila1
1Department of Orofacial Sciences, School of Dentistry, University of California, San Francisco, California.
Background:
Advancements in strategies to maintain compromised teeth combined with a greater understanding of risks associated with dental implants invite a reassessment of the benefits of strategic extraction of a tooth with a questionable prognosis or of limited strategic value.
Methods:
Evidence of the management of compromised teeth and decision making for strategic extraction was reviewed. Additionally, the risks for peri-implantitis were evaluated from the perspective of patient centric, biologic, and biomechanical complications.
Results:
Recent clinical innovations support a more predictable maintenance of compromised dentition, and the clinical literature provides evidence of the risks associated with dental implants.
Conclusions:
Because of the improvements in dental management of compromised dentition, strategic extraction should be deferred, whenever possible, to avoid complications associated with peri-implantitis.
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