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Selection of Original Tooth Treatment and Dental Implant

Clinically, patients are often seen with severe periodontal disease beside dental implants that are not treated and controlled, and oral hygiene is not good. This situation is like a mansion built next to the dump, which is worrying.

How long can teeth with periodontal disease remain after treatment? In the end, should the treatment retain the tooth or be pulled out and replaced with root implant treatment? In recent years, at the International Dental Implant Symposium, senior professors from Switzerland and the United States have also raised the same issue, especially in cases of severe periodontal disease requiring full-mouth reconstruction.

The purpose of periodontal disease treatment is to restore periodontal health and promote periodontal regeneration. In the past two decades, periodontal regeneration therapy has been able to effectively repair most severely damaged teeth. This treatment model has recently been challenged by the rapid development of artificial dental implants, because artificial implants “claim” that they can completely replace unhealthy teeth.

Since the prosperous development of artificial dental implants at the end of the twentieth century, it has indeed made a breakthrough in the treatment of dentistry. Due to the continuous improvement of its success rate, it has become the treatment mode adopted by many dentists. Many teeth that were previously considered for treatment may now be removed early and replaced with implants to avoid damage to healthy neighboring teeth as a bridge.

But is artificial tooth implantation better than treatable natural teeth? In fact, choosing artificial dental implants or treatment to retain teeth, even in the eyes of experts, is still a matter of opinion. From the speeches of many international clinical experts and the medical reports that track the success of periodontal disease treatment for 20-30 years, after periodontal disease treatment, as long as the maintenance treatment is regular every 3 months, focus on brushing teeth and maintain good oral hygiene, 20- After 30 years, the average number of teeth lost per person is less than one.

Therefore, it is contrary to medical common sense to treat the treatable teeth and remove them early without treatment. However, artificial tooth implants do make the oral cavity healthy and simple. In the past, the lack of teeth could only be done with movable dentures, or the need to grind adjacent teeth to fix the bridge. Now, as long as the patient’s economic status permits, there will be one more treatment option.

There are still many shortcomings in the material design and follow-up care of artificial dental implants. Although the number of artificial dental implants continues to rise, the lesions of root implants have also increased. So when faced with the choice of retaining teeth or artificial implants? First of all, the overall health of the patient, the conditions of the alveolar bone in the oral cavity and oral hygiene should be considered. The prognosis and long-term success rate of periodontal and dental implant treatment should be carefully evaluated.

There are many determinants that influence the success of periodontal and dental implant treatment. After periodontal treatment, the stability and chewing function of the teeth can be improved. Successful tooth implants can also achieve good chewing function, but in order to reduce the lateral bite force, the tooth implant peak will be flat and blunt, and the molar occlusal surface will also be reduced, which greatly reduces the grinding ability.

In addition, the root of the dental implant lacks the pressure buffering mechanism and sensory function of the periodontal ligament. Even if there is an occlusal injury, it is often difficult to consciously, and the aesthetic treatment of the dental implant is difficult. Others, such as high cost of dental implants, inadequate alveolar bones, complex operations such as bone augmentation, and more difficult complications, are all problems faced by patients when choosing artificial dental implants.

Whether dental implants are completely superior to natural teeth is still difficult to determine for dental experts. When a doctor sees a patient, he must comprehensively evaluate the factors mentioned above to choose a treatment plan to see if he uses periodontal therapy to retain his teeth, or choose to use artificial implants instead.

In fact, the successful treatment of dental implants requires cross-disciplinary knowledge and rich clinical technical experience (dental implants have high requirements for dental implant doctors, and dental implants must choose professional and reliable doctors). Never see dental problems. Decide on your treatment at will. The periodontal disease treatment and artificial dental implants should also be clearly explained to the patients on the chewing function, aesthetic effect and difficulty of treatment. Allow preserved teeth and artificial implants to exert their respective advantages to avoid misuse of artificial implants.

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