roots C.E. - the international magazine of endodontology

06 I I C.E. article_ treatment planning _Preservation of the natural dentition is the pri- mary goal of dentistry. Published surveys indicate thatpatientsgenerallyvalueteethandexpressade- siretosavetheirnaturaldentitioninfavorofextrac- tion whenever possible.1,2 Significant technological and biological improvements have been made in all disciplines of dentistry, making long-term re- tention of natural teeth more attainable. Patients entrust dental professionals to make appropriate recommendations regarding the maintenance and restoration of their oral health and function. It is essential to employ an evidence-based, interdisci- plinaryapproachthataddressestheinterestsofthe patient when determining the best possible course of treatment. In July 2014, the American Association of Endo- dontists,incollaborationwiththeAmericanCollege of Prosthodontists and the American Academy of Periodontology, hosted a two-day Joint Sympo- sium titled “Teeth for a Lifetime: Interdisciplinary Evidence for Clinical Success.” Approximately 375 general dentists and specialists assembled in Chi- cago to focus on preserving the natural dentition. The educational program included evidence- based presentations on advanced regenerative techniques, improvements in technology, mini- mally invasive restorative methods and best prac- tices for interdisciplinary treatment planning. Dr. Alan Gluskin, chair of the 2014 Joint Symposium Planning Committee, concluded that the current evidence directs clinicians to consider saving the natural dentition as the first option when develop- ing treatment plans. Dental implants are one of the most significant advancements in contemporary dentistry. This in- novation has had profound effects on endodontic, periodonticandprosthodontictreatmentplanning for the rehabilitation of edentulous spaces and for teeth with an unfavorable prognosis.3 Implant- supported restorations minimize unnecessary preparation of intact abutment teeth and allow fixed prosthodontic replacement when suitable abutments are absent. With appropriate usage and case selection, implant dentistry provides a viable option for the replacement of missing teeth.4,5 There has been an increasing trend toward replacing diseased teeth with dental implants. Often, an inadequate or inappropriate indication for tooth extraction has resulted in the removal of teeth that may have been salvageable.6 Teeth compromised by pulpal or periodontal disease have value and should not be extracted without thoroughly evaluating restorability and potential retention therapies.7 roots 1_2016 Treatment planning: Retention of the natural dentition and the replacement of missing teeth Author_Scott L. Doyle, DDS This article qualifies for C.E. credit.TotaketheC.E.quiz,log on to www.dtstudyclub.com. Click on ‘C.E. articles’ and search for this edition (Roots C.E. Magazine — 1/2016). If you are not registered with the site, you will be asked to do so beforetakingthequiz.Youmay also access the quiz by using the QR code below. _c.e. credit Fig. 1a_Pre-op image of tooth #19 with pulp necrosis and symptomatic apical periodontitis. The patient is interested in rehabilitation of the edentulous space. (Photos/Provided by American Association of Endodontists) Fig. 1b_Three-year recall image. The patient has benefited from both root canal treatment and implant therapy. Courtesy of Dr. Tyler Peterson and the University of Minnesota School of Dentistry. Fig. 1a Fig. 1b

roots C.E. - the international magazine of endodontology

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