The primary role of periodontal therapy is firstly to save existing teeth, and secondly replace missing teeth. During initial evaluations of the patient, as well as during the course of treatment, hopeless teeth and other teeth needing extraction can be identified.
Frequently, hopeless teeth can only be identified while you’re performing a periodontal surgical procedure. Extractions should necessarily be performed to facilitate the coordinated treatment plan.
Extractions are most often performed during the diagnostic, non-surgical, or surgical phase of care to eliminate pain, infection, or periodontal defects and/or to facilitate restorative treatment.
During the surgical phase of treatment, periodontal defects may be corrected by extracting adjacent teeth.
For the purpose of placing dental implants, teeth may also be extracted. Implant site development or actual implant placement should be accomplished as soon after tooth extraction as is proper and appropriate.
The use of judicious extraction techniques for ridge preservation may be necessary for the preservation of bone for prosthetic appliances or for future implant placement.
During maintenance therapy, teeth that have lost periodontal attachment and bone may require extraction. Other reasons to extract teeth include treatment of acute periodontal lesions and occlusal trauma, for example.
Tooth extraction, during the course of periodontal therapy, and in preparation for the placement of dental implants, is a necessary and integral part of periodontal practice and provides treatment advantages to the patient, dentist, and periodontist.
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