Abstract
When dealing with patients with periodontal disease of variable severities, dentists must often choose between treating and restoring the involved tooth or indicating its extraction. Different criteria have been adopted in this decision-making process. The purpose of this study was to evaluate the criteria adopted by dentists to indicate the extraction of teeth with periodontitis. Dentists were interviewed at their private practices in three cities of the state of Rio Grande do Sul, Brazil. The evaluated criteria included severity of attachment loss, tooth mobility, furcation involvement, prosthetic planning, periodontal-endodontic lesion, possible systemic involvement due to the presence of periodontitis, referral to a periodontist for evaluation, radiographic bone loss greater than 50%, presence of extensive caries, socio-economic and cultural status of the patient, among others. The most often adopted criteria to indicate the extraction of periodontally affected teeth were the presence of mobility (37.5%), severity of attachment loss (24.3%) and radiographic bone loss greater than 50% (21.2%). The results of the present study demonstrated the difficulties faced by dentists to indicate the extraction of teeth with severe attachment loss, in addition to the establishment of an adequate prognosis. Aspects associated with the past disease were still the most often reported to indicate the extraction of teeth for periodontal reasons.
Highlights
Periodontal diseases are highly prevalent in populations[27]
The alternatives related to the criteria adopted to indicate the extraction of teeth with periodontitis included severity of attachment loss, tooth mobility, furcation involvement, prosthetic planning, periodontal-endodontic lesion, possible systemic involvement due to periodontitis, referral to a periodontist for evaluation, radiographic bone loss greater than 50%, presence of extensive caries, socio-economic and cultural status of the patient, among others
The most frequently reported reasons to indicate the extraction of teeth with periodontitis were the presence of mobility (37.5%), severity of attachment loss (24.3%) and radiographic bone loss greater than 50% (21.2%), followed by socioeconomic and cultural aspects (16.4%), prosthetic planning (12.5%) and furcation involvement (5.3%)
Summary
The main goal of periodontal treatment is to reestablish the balance of periodontal health, restoring the health and function of teeth[23]. Treatment of advanced periodontal disease aiming to control the supra and subgingival biofilm has a favorable prognosis. If the supragingival biofilm is well controlled subsequently to treatment, the outcomes are adequately maintained and future attachment loss is prevented[10,11,14,24]. In some situations, the previous attachment loss may impair the achievement of such therapeutic goals, and health and function of teeth may not be reestablished by periodontal treatment. In these situations, extraction of teeth with periodontal disease is recommended
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
