Abstract
Abstract: It has long been assumed that clinicians are able to predict the course of periodontal disease and advise patients about the longevity of individual teeth; the evidence challenges this concept and suggests that clinicians are unable to do this with any certainty. Periodontal therapy can be highly effective in the long term and questionable teeth can be retained for long periods. These facts have important implications when deciding whether or not to remove a tooth and consider some form of tooth replacement. The advent of dental implants has further complicated this decision-making process. In addition, the fate of dental implants in periodontally susceptible patients is not as predictable as it is in the periodontally healthy. CPD/Clinical Relevance: This paper highlights the difficulties clinicians face when determining the prognosis of periodontally involved teeth in terms of whether to extract or retain such teeth. It also examines the survival of implants in periodontally susceptible patients. ‘Let's see what happens' is actually very sensible….time is a powerful diagnostic tool, though many patients are unimpressed by it’ (Raymond Tallis, Hippocratic Oaths 2004).
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