Periodoncia versus implantodoncia: Una breve revisión del dilema de la extracción dental
DOI:
https://doi.org/10.33448/rsd-v10i7.13426Palabras clave:
Periodoncia; Cirurga Bucal; Carga inmediata del implante dental.Resumen
El tratamiento de los dientes afectados por enfermedades periodontales se ha mostrado eficaz para mantenerlos en la cavidad bucal o como soporte de prótesis fijas durante largos períodos, mostrando una tasa de supervivencia en torno al 90%. Sin embargo, con respecto a la interrelación de Periodoncia e Implantología, investigaciones recientes han demostrado que el número de extracciones de dientes dañados por la enfermedad periodontal ha aumentado significativamente. Además de la caries y la enfermedad periodontal, la acción del fórceps del odontólogo es una de las principales causas de extracción, que se utiliza en las más variadas situaciones y habitualmente siguiendo los propios criterios de los profesionales. El avance de la implantología y la aparición de las industrias de implantes cambiaron varios aspectos del pronóstico en cuanto al mantenimiento de los dientes (o no). La periodoncia es una disciplina que busca desarrollar metodologías y decisiones clínicas basadas en la evidencia científica y en el pronóstico ético que realmente favorezca a los pacientes. Este estudio tiene como objetivo contribuir a este debate y presenta casos clínicos en los que los dientes con daño periodontal no fueron referidos a extracción y fueron preservados y conservados en la cavidad bucal.
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Derechos de autor 2021 Fabio Anibal Goiris; Priscila Smolareck; Juliana Larocca de Geus
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