Debate between dental implants as first choice or save natural teeth
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Implants are an important and effective treatment to replace missing teeth due to periodontal disease, agenesis or other causes. Undoubtedly, the incorporation into daily dental practice has resulted in improvements to oral health, in terms of function, esthetics and phonetics. However, there is evidence about possible biological complications of implants, and the associated challenge for experts in dentistry, to achieve a predictable therapy.
Possible complications of dental implants
There is a recent review based on a European consensus which revealed that the prevalence of mucositis and periimplantitis (infection of the implants) is between 19 and 65%. one of the largest studies in Sweden also concluded that such diseases are common biological complications in implant treatment that, in turn, can compromise the duration of rehabilitations on them.
These complications require treatment difficult choices. Some of them are:
- mechanical therapy and antibiotics
- resective surgery
- Regeneration
- Implant removal
Importance of preserving the natural dentition
For the above should be performed extensive testing of therapeutic excellence. It is important to try to preserve the natural dentition, because the teeth are for life, and only if necessary or recommended treatments of this type are made, always with the best guarantees of long - term success.
In the last 2 decades have reduced the emphasis by experts Dentistry save teeth compromised. In fact, there are clinical studies showing that younger professionals with knowledge in Periodontology and Implantology clinic usually made less effort to retain or keep the teeth.
However, dental practice should change to retain more teeth, as long-term therapy to preserve teeth gives excellent success. It is shown that teeth affected by periodontal disease or endodontic problems may have greater longevity than dental implants.
Proper maintenance of teeth passes to preserve the natural dentition, no hurry to extract teeth and replace them with dental implants.
