Periodontia versus Implantodontia: Uma breve revisão do dilema da extração dentária
DOI:
https://doi.org/10.33448/rsd-v10i7.13426Palavras-chave:
Periodontia; Cirurgia bucal; Carga Imediata em implante dentário.Resumo
O tratamento de dentes acometidos por doenças periodontais tem se mostrado eficaz em mantê-los na cavidade oral ou como suporte para próteses fixas por longos períodos, apresentando uma sobrevida em torno de 90%. Porém, no que se refere à inter-relação da Periodontia e da Implantodontia, pesquisas recentes têm mostrado que o número de exodontias de dentes danificados pela doença periodontal vem aumentando significativamente. Além da cárie e da doença periodontal, a ação do fórceps do dentista é uma das principais causas de exodontias, que é utilizada nas mais diversas situações e geralmente seguindo critérios próprios dos profissionais. O avanço da Implantodontia e o surgimento das indústrias de implantes mudaram vários aspectos do prognóstico quanto à manutenção (ou não) dos dentes. A Periodontia é uma disciplina que busca desenvolver metodologias e decisões clínicas baseadas em evidências científicas e em prognósticos éticos que realmente favoreçam os pacientes. Este estudo visa contribuir para esse debate e apresenta casos clínicos em que dentes com lesão periodontal não foram encaminhados para extração e foram preservados e mantidos na cavidade oral.
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