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Cárcamo-España V, Cuesta Reyes N, Flores Saldivar P, Chimenos-Küstner E, Estrugo Devesa A, López-López J. Compromised Teeth Preserve or Extract: A Review of the Literature. J Clin Med 2022; 11:jcm11185301. [PMID: 36142946 PMCID: PMC9504015 DOI: 10.3390/jcm11185301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2022] [Revised: 09/05/2022] [Accepted: 09/06/2022] [Indexed: 12/03/2022] Open
Abstract
Multiple systems and associated factors have been described in the literature to assess the prognosis of teeth with periodontal disease. Nowadays there is a tendency among clinicians to consider implants as the best solution after tooth extraction, in cases of teeth with a questionable prognosis. However, the value of the natural tooth must be considered, as the proprioception of the periodontal ligament is preserved, and it adapts to stress during functional loads. We first review the literature focusing on analyzing the factors that should guide decision-making to maintain or extract a tooth with a compromised periodontium. Then, we propose a schematic diagram of prognostic indicators to reflect the main factors to consider and the survival rate that each one represents when preserving or extracting a tooth.
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Affiliation(s)
- Valentina Cárcamo-España
- Department of Oral Medicine, Faculty of Medicine and Health Sciences (Dentistry), University of Barcelona Dental Hospital, University of Barcelona, 08907 Barcelona, Spain
- Correspondence: (V.C.-E.); or (J.L.-L.); Tel.: +34-606-45-73-62 (J.L.-L.)
| | - Nataly Cuesta Reyes
- Department of Oral Medicine, Faculty of Medicine and Health Sciences (Dentistry), University of Barcelona Dental Hospital, University of Barcelona, 08907 Barcelona, Spain
| | - Paul Flores Saldivar
- Department of Oral Medicine, Faculty of Medicine and Health Sciences (Dentistry), University of Barcelona Dental Hospital, University of Barcelona, 08907 Barcelona, Spain
| | - Eduardo Chimenos-Küstner
- Department of Odontostomatology and Oral Medicine, Faculty of Medicine and Health Sciences (Dentistry), University of Barcelona Dental Hospital, University of Barcelona, 08907 Barcelona, Spain
| | - Alberto Estrugo Devesa
- Department of Odontostomatology and Oral Medicine, Faculty of Medicine and Health Sciences (Dentistry), University of Barcelona Dental Hospital, University of Barcelona, 08907 Barcelona, Spain
| | - José López-López
- Department of Odontostomatology and Oral Medicine, Faculty of Medicine and Health Sciences (Dentistry), University of Barcelona Dental Hospital, University of Barcelona, 08907 Barcelona, Spain
- Correspondence: (V.C.-E.); or (J.L.-L.); Tel.: +34-606-45-73-62 (J.L.-L.)
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Dawett B, Deery C, Banerjee A, Papaioannou D, Marshman Z. A scoping literature review on minimum intervention dentistry for children with dental caries. Br Dent J 2022:10.1038/s41415-022-4038-8. [PMID: 35246624 DOI: 10.1038/s41415-022-4038-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2021] [Accepted: 05/06/2021] [Indexed: 11/08/2022]
Abstract
Background Dental caries in children's permanent teeth remains a global burden. In contrast to the traditional approach of treating the disease through surgical operative intervention, minimum intervention has increasingly been recommended for managing children with dental caries.Aim This scoping review aimed to describe the literature related to the provision of minimum intervention dentistry for children with caries and to identify research gaps.Methods Electronic databases (Medline via Ovid, PubMed, Web of Science and Scopus) were searched, together with grey literature databases, and key organisation websites. Data was extracted on a piloted extraction template and a thematic analysis was undertaken.Results Sixty-seven relevant articles were identified. No empirical literature was identified that assessed a complete minimum intervention care pathway to managing caries. Five themes were identified from the scoping literature: evidence base, clinician attitude and skills, practice implementation, acceptability and environmental factors.Conclusions The majority of articles were opinion papers. There is a paucity of empirical evidence supporting the clinical and cost-effectiveness of a minimum intervention pathway for children with dental caries in primary dental care. The scoping review has identified some potential barriers to the implementation of such a care pathway, including regulatory and remunerative frameworks and clinical training/education.
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Affiliation(s)
- Bhupinder Dawett
- Doctoral Research Fellow, School of Clinical Dentistry, University of Sheffield, Claremont Crescent, Sheffield, S10 2TA, UK.
| | - Chris Deery
- Dean, Professor/Honorary Consultant in Paediatric Dentistry, School of Clinical Dentistry, University of Sheffield, Claremont Crescent, Sheffield, S10 2TA, UK
| | - Avijit Banerjee
- Professor of Cariology and Operative Dentistry/Honorary Consultant, Restorative Dentistry, Faculty of Dentistry, Oral & Craniofacial Sciences, King´s College London, London, UK
| | - Diana Papaioannou
- Assistant Director, School of Health and Related Research, University of Sheffield, Regent Court, 30 Regent St, Sheffield, S1 4DA, UK
| | - Zoe Marshman
- Professor in Dental Public Health, School of Clinical Dentistry, University of Sheffield, Claremont Crescent, Sheffield, S10 2TA, UK
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Carious lesion detection technologies: factual clinical approaches. Br Dent J 2020; 229:432-442. [DOI: 10.1038/s41415-020-2116-3] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2020] [Accepted: 05/05/2020] [Indexed: 11/09/2022]
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Meyers IA. Herodontics - is there a place for maintaining the apparently hopeless tooth? Aust Dent J 2019; 64 Suppl 1:S71-S79. [PMID: 31144327 DOI: 10.1111/adj.12698] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
The population is ageing and people are keeping their own teeth for much longer due in part to the efforts of the dental profession in restoring teeth and reducing the number of teeth being extracted. Along with this there is now an increasing expectation by patients that they will retain their own teeth as they age and that dental practitioners will have the knowledge and skills to help them retain their own teeth. Contemporary restorative materials and techniques have increased the range of options available to assist with maintaining the dentition, and many of these procedures enable minimally invasive and cost effective management of the teeth as an alternative to complex and expensive procedures. This paper discusses the restoration of compromised and failing teeth in the ageing patient, and looks at the various issues facing the ageing dentate patient and the dilemma of when to restore or when to extract. Ultimately it is hoped that maintaining healthy teeth for life may not only improve oral function and quality of life, but may in fact reduce the impact of the physical and psychological aspects of ageing.
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Affiliation(s)
- I A Meyers
- The University of Queensland School of Dentistry, Brisbane, Qld, Australia
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