Perio-prosthetic implant treatment planning is gaining popularity with high perceived survival and success rates. Replacing a tooth with an implant is usually based on tooth prognosis evaluation and its comparison to the anticipated long-term implant survival. Different approaches for determining tooth prognosis were described in the literature. Over the past decade, the use of osseointegrated implants as a foundation for prosthetic replacement of missing teeth has become widespread. However, there is an increasing trend toward replacing diseased teeth with dental implants. It seems that a lot of efforts are sometimes needed to save or preserve a tooth and it is tempting to turn to implant placement. This lecture will provide a re-evaluation of our paradigms, beliefs and knowledge regarding both tooth prognosis evaluation and long-term implant success according to the currently available knowledge. We, as dental professionals, should avoid basing our treatment planning on thoughts and beliefs and stick as much as possible to evidence-based practice.
Describe the prognostic systems for teeth and implants.
List treatment alternatives for periodontally involved teeth.
Apply an Evidence-Based approach to determine the best treatment options for teeth with questionable prognosis.