• Genetics. In 65.2% of the teeth, the size of the lesion decreased, while in 34.8% of teeth, there was an increase. to predict long-term prognosis for 5 years, but reas-sessment is often needed for a prolonged period. 3. 1. The combined effect of IL‐1GP and heavy smoking increased the risk of tooth loss by 7.7 times. Clinical trials were selected that addressed the ability of commonly used clinical periodontal parameters to predict disease progression leading to tooth loss. To date there are no clinical studies available that directly compare survival rates of teeth undergoing apicoectomy and implants. In conclusion, the prognosis of root-resection is not poorer than the prognosis of single-rooted teeth with an equal susceptibility to periodontitis, if endodontic conditions and maintenance care are optimal. Materials and methods: A study was done to evaluate long-term results of treating 387 maxillary molars with furcation involvement in 100 patients with chronic destructive periodontal disease. The patients averaged 43.8 years of age and consisted of 59 females and 41 males. Surgical complications included neurosensory disturbance, hematoma, mandibular fracture, hemorrhage, and tooth devitalization. Tooth loss for 100 treated periodontal patients (2,509 teeth) under maintenance care was evaluated to determine the effectiveness of commonly taught clinical parameters utilized in the assignment of prognosis in accurately predicting tooth survival. Conclusions Further evaluation of the data is needed to determine how each of the prognostic indicators relate to the success or failure of our projection. Judicious, strategic extractions may permit the placement of long implants in ideal positions. In cases in which the request appears influenced by a specific mental condition such as a phobia of dental treatment, extraction rarely is justifiable. Evaluation was made as to patterns of tooth loss, loss of questionable teeth, loss of teeth with furcations, surgical vs. nonsurgical therapy, and presence of fixed or removable prostheses. In the esthetic zone, difficult decisions must be made regarding extraction or retention of compromised teeth. The main findings for each subtheme were as follows: 1) A significant association between number of teeth and OHRQoL was shown in most studies; however, those studies found different cutoff points regarding the number of teeth that affect OHRQoL, after adjusting for other factors in the analyses (e.g., age, sex, cultural background, and study locations). Of the 46 teeth (12%) that were ultimately extracted, 25 were present for a significant length of time (6 to 18 years) before extraction. Abstract. Advanced periodontal disease represented by pocketing were the dominant pathology when tooth loss occurred as the result of periodontal disease. 3.ANATOMIC FACTORS Short, tapered roots with large crowns, cervical enamel projections (ceps) and enamel pearls, intermediate bifurcation ridges, root concavities, and developmental grooves - predispose periodontium to disease Teeth with short, tapered roots and relatively large crown – Poor prognosis Abstract. Large-scale randomized controlled trials should be conducted to strengthen the evidence. The dimensions determined to be of importance to gain an overall perspective of the individual relative tooth prognosis were the periodontal, restorative, endodontic, and occlusal plane perspectives. In the Glossary of Prosthodontic Terms, 6) prognosis is defined as the prediction of the likely outcome of a disease or the course of a therapy. Implant cases had the highest disagreement between the specialists and the general dentists. required. With the development of adhesive systems, There was greater loss in the maxilla than mandible with fixed complete dentures and overdentures, whereas little arch difference was noted with fixed partial dentures. To aid dentists in making treatment decisions in such cases, the authors present a flowchart that integrates possible considerations. Resin-bonded prostheses (26%) and conventional fixed partial dentures (27%) were found to have comparable clinical complications incidences. Genetic factors may play an important role in determining the nature of the host response. The scorings included determination of AL, FI, MO, and tooth loss (TL). Not only did the presence of an IFD increase the risk of tooth loss but also the risk increased relative to the depth of the lesion; and therefore, the authors concluded that in the absence of periodontal therapy, the presence of an IFD at baseline represented an increased risk for further alveolar bone loss. All available clinical studies from 1981 to 1997, published in English or with English abstract, that presented success/failure data regarding implant treatment were evaluated to determine the types of reported complications and to quantify implant loss as it relates to type of prosthesis, arch, time, implant length, and bone quality. A complete list of references is available from the publisher. Your email address will not be published. The possibility that additional bone loss can compromise a future implant site needs to be considered before providing periodontal therapy. The decision to extract a tooth will fluctuate depending on its clinical condition, and this action should be supported by the literature, clinical experience, and the patient's declared goals. A survey of the literature revealed 66 studies, published between 1986 and 1996. The major prosthetic complication was the fracture of the all-acrylic FDP. The influence of various factors that may affect the outcome of root canal therapy was evaluated in 356 patients 8 to 10 yr after the treatment. Extraction may be necessary as a result of caries or periodontal disease [1][2], Evaluation of furcation region response to peri-odontal therapy. This article describes the rationale and clinical guidelines for the placement of endocrowns. Prognosis 2. For example, if the majority of teeth have a poor or questionable prognosis, treatment plan options may favor full-mouth extraction and complete dentures. Factors that affect individual tooth prognosis and choices in contemporary treatment planning. The response to periodontal treatment was only marginally related to tooth type with the most favorable responses in the maxillary and mandibular anterior teeth and the least favorable responses in the maxillary molars and bicuspids. The ultimate fate of teeth initially labeled as hopeless varied substantially, and even though the average prognosis of the teeth studied at each interval remained relatively stable over time, individual prognosis categories and individual tooth prognoses changed frequently. The results suggested that this population reflected many of the same characteristics seen in well-maintained patients. Determination of prognosis and The Treatment plan for periodontal disease Greater implant loss occurred with overdentures than with other types of prostheses. Recently, a genetic marker (IL-1 genotype) that identifies individuals at higher risk for developing severe periodontal disease was discovered. A large number of studies have demonstrated that the success rate in endodontic therapy is significantly influenced by the presence or absence of a pretherapeutic radiographic lesion (1-7, 9-11). Bacterial plaque is the primary etiologic factor associated with periodontal disease. utilization of tooth as an abutment for removable or fixed prosthesis, (iv) and tooth type (nonmolar teeth versus molar teeth). Smoking and diagnosis of aggressive periodontitis may or should be considered as factors to affect the frequency of recall appointments. This difference was not statistically significant. In this article, the authors offer guidelines to help dentists and oral surgeons make decisions regarding such requests for extraction. Introduction: Autotransplantation of teeth with complete root formation is indicated for replacement of teeth lost as a result of dental caries, periodontal disease, or trauma in adult patients. Non-controlled type 2 diabetes in a 42-year-old patient. The concept of periodontal prognosis is an expression of the expected longevity of a tooth or an entire dentition and is useful for making decisions on whether to treat, retain, or remove periodontally involved teeth. The ultimate fate of teeth initially labeled as hopeless varied substantially, and even though the average prognosis of the teeth studied at each interval remained relatively stable over time, individual prognosis categories and individual tooth prognoses changed frequently. • Crown-root ratio. What orthodontists can offer in the management of patients with periodontal disease, how they can help the periodontists and the patients, and how the periodontists can help the orthodontist make treatment safe and purposefully are widely discussed. The analysis of the current literature aimed at clarifying which if the two treatment options leads to improved survival and success rates. Periodontal disease (23.4% overall) was the next most frequent indication for extraction and became the commonest cause of tooth extraction in patients aged 40 years or more. • Furcation invasions. The sum of these scores became the score for that tooth. Smoking decreased the likelihood of improvement by 60% and doubled the likelihood of worsening in prognosis at 5 years. Of 2,139 teeth that originally had been considered of questionable prognosis, 666 were lost. This subgroup consisted of 42 patients (1,044 teeth) in maintenance care for 14 years; 16 tested IL-1 genotype-positive (IL-1GP). Whilst single risks are possibly accepted for single tooth restorations, teeth with questionable prognosis and multiple pre-treatment requirements are better not included as abutments in fixed dental prostheses to reduce the risk to survival of the entire restoration. A statistically derived score was determined for each factor. It has been mentioned that particularly in younger patients, where a significantly long-term prognosis is required, a more aggressive approach in replacing questionable teeth with implants would be justified, ... For instance, when molar extraction would result in sinus lifting procedures, which the patient wishes to avoid, the high strategic value justifies multiple extensive procedures for tooth retention. Another patient with the majority of teeth with a poor or questionable prognosis may be motivated for dental implants and a fixed prosthesis. Clinical implications are as follows. People with SDAs maintain an acceptable level of OHRQoL. However, when there is communication between the two disease processes, then the root canals should be medicated until the periodontal treatment has been completed and the overall prognosis of the tooth has been reassessed as being favourable. The authors' philosophy is to respect growth and delay implant reconstruction until the cessation of skeletal or alveolar growth, as documented by serial lateral cephalometrics radiographs taken 6 months apart. -Short term prognosis: 1-5 years overall prognosis for functional dentition or individual tooth-Long term prognosis: 5-10 years overall prognosis for functional dentition or individual tooth . The results of this study revealed that dental caries (56.4% overall) was the main reason for tooth extraction, especially in 20-39 year olds. Five peer-reviewed journals, references of relevant publications, and reviews were hand searched. [1][2], ... Extractions are indicated medically for a variety of diagnostic findings. Types of Perio D's 5. A prospective study of the factors affecting outcomes of non‐surgical root canal treatment: part 2: tooth survival. This is essential since the diagnosis will determine the type and sequence of treatment, The longevity of teeth depends directly on the state of the periodontal tissues. A factor only becomes a part of standard practice after a great deal of research has shown it’s accurate and reliable. III. Once accomplished an estimate of longevity and survival is estimated. 2007;33:399–402. For teeth with an “unfavorable” prognosis, the local or systemic factors cannot be controlled, and periodontal breakdown is likely to occur even with comprehensive periodontal treatment and maintenance. the conventional post-core and fixed partial dentures. Considering the favorable outcome, conservative endodontic therapy, both nonsurgical and surgical, is definitely justified and should be attempted when a good restorative and periodontal prognosis is projected, unless the patient is not motivated to retain the tooth. TYPES OF REVIEWED STUDIES: Studies were selected that provided background information for clinical decision-making concerning whether a compromised tooth should be retained or removed. The predictability from clinical and radiographic signs of the treatment-outcome in individual cases with preoperative periapical lesions cases was found to be low. You can request the full-text of this article directly from the authors on ResearchGate. Gingivitis associated with dental plaque only. Long-term implant prognosis: Although implant treatment success rates are very high during the first years, there is a question about the biological complications that appear after 5 years of function [31,32]. In conclusion, it was found that projections were ineffective in predicting any prognosis other than good, and that prognoses tended to be more accurate for single rooted teeth than for multi-rooted teeth. When deciding if a compromised tooth of questionable prognosis should be maintained or replaced by an implant, both local, site-specific and more general patient-related factors should be considered. The article will concentrate on the single tooth or implant restoration. Since orthodontic extrusion is rarely performed on pluriradicular teeth, extensive crown lengthening to attain a ferrule effect and restoration stability should no longer be considered as a feasible option. IV. However, the type of treatment was found to be significant. The authors aimed to critically review the literature regarding the relationship between retention of teeth and oral health-related quality of life (OHRQoL) and the extent to which tooth retention can ensure OHRQoL among adults. These results seem to indicate that the effect of these clinical parameters on tooth survival is only partially reflected in the assigned prognosis initially, suggesting that perhaps some of the clinical parameters should be weighed more heavily than others when assigning prognosis. The objective of this review of literature is to discuss relevant factors associated with patient’s health, tooth and dentist that could account for a successful RCT. The rate of success for cases with vital or … Possible reasons for these shifts are discussed. A dentist evaluates a natural tooth for its quality of health. Suggestions are made as to how to improve the prognosis of resected teeth. The outcomes of traditional periodontal, endodontic, and prosthodontic treatment approaches are compared to the option of strategic extraction. Four subjects were excluded. 2) Will the tooth itself be lost in the future? Personal and demographic information and clinical, Access scientific knowledge from anywhere. It starts with an accurate diagnosis, which will lead to a prognosis of each individual tooth and the overall dentition. Which factors affect the prognosis of endo-periodontal lesions remains unclear. Prognosis for Individual Teeth and the Overall Dentition ETT are While some authors have found that increased mobility is a factor that negatively influences the survival of a periodontally affected tooth5, others describe no association between tooth mobility and treatment outcome. thus positively affect the long-term success. Knowledge of the patient's IL-1 genotype and smoking status will improve the clinician's ability to accurately assign prognosis and predict tooth survival. The prognosis of the tooth is affected by a number of factors including the quality of the root canal treatment, the quality and quantity of the remaining coronal tooth structure, the avoidance of iatrogenic accidents such as perforation during post-space preparation, and the physical characteristics and fit of the core and the definitive restoration (Fig 8-1). Status of each tooth in the dentition. The prognosis of the tooth is affected by a number of factors including the quality of the root canal treatment, the quality and quantity of the remaining coronal tooth structure, the avoidance of iatrogenic accidents such as perforation during post-space preparation, and the physical characteristics and fit of the core and the definitive restoration (Fig 8-1). Based on selected follow-up studies that offer the best evidence, the chance of teeth without apical periodontitis to remain free of disease after initial treatment or orthograde retreatment is 92 percent to 98 percent. A number of 4,804 implants were initially placed, of which 74 failed, with a majority of failures (74%) within the first 12 months. Table 3 Multivariate analysis of the prognostic factors affecting survival. Abstract. multiple factors may influence the prognosis of teeth. Studies and level of evidence were appraised using the Newcastle-Ottawa Scale and Grading of Recommendations, Assessment, Development and Evaluations. Breast cancer staging. Insurance did not play a role in the decision-making portion of the treatment plan. Although a number of these differences were significant statistically, the actual values were too small to be of appreciable clinical significance. Permanent molars are less frequently affected than deciduous molars. Prognosis of the overall dentition leaves clinicians and patients to choose appropriate treatment plans based on the expected lifetime of teeth. The results of treatment were directly dependent on the preoperative status of the pulp and periapical tissues. The overall prognosis is concerned with the dentition as a whole. Although tooth structure is not the primary cause of dental caries, it is still an important factor. Developing a prognosis for the dentition incorporates virtually all skills in the art and science of dentistry. Doyle SL, Hodges JS, Pesun I, Baisden MK, Bowles WR. Data for molar teeth from three different time periods (at entry (A) and at 1 (B) and 8 (C) years) were analyzed. The measurements were performed using computerized morphometry. Lesions larger than 10 mm2 had a greater tendency for healing. Dental professionals should keep in mind that they cannot be forced to carry out treatment that is at odds with the ethical principle of nonmaleficence or that is outside of the bounds of accepted treatment. ] Key Method A search was conducted reviewing existing literature relating to classification and prognostication of individual teeth. The radiographs of 292 teeth (75%) showed no significant change in bone support 5 to 24 years after treatement, while those of 8 teeth (2%) suggested improvement. Crown-root ratio is also a measure of attachment loss, especially when dealing with short roots. Six hundred patients in a private periodontal practice were reexamined an average of 22 years after their active treatment and the patterns of tooth loss were observed. • Age. Two specialists examined radiographs and reviewed the charts and then independently generated treatment plans. 2007, 2008a,b, 2010) on periapical status and survival of teeth following nonsurgical root canal treatment revealed the quality of evidence for treatment factors affecting both 1!RCTx The authors investigated studies that assessed the relationship between number of teeth and OHRQoL and how the position, type, and/or pattern of the teeth is related to OHRQoL. of this study is, therefore, to discuss how orthodontic patients with severe periodontitis could be treated and what we should do for these patients during the treatment as well as at their initial visit. This paper d iscusses the literature pertaining to both treatment modalities and identifies key issues that need careful consideration in planning the most appropriate course of care in a given clinical situation. Evaluation of prognostic factors affecting root coverage in patients before planned orthodontic treatment . Numerous factors need to be considered to arrive at a proper treatment plan, which may differ from a plan devised for the posterior region of the mouth. Neither of these factors was found to be significant in worsening of prognosis. The greatest challenge in treatment planning is to assign an accurate prognosis and develop a predictable protocol. The time of implant loss (preprosthetic vs postprosthetic) varied with type of prosthesis. Survival rates were 68% for root-resected molars and 77% for root-filled single-rooted teeth over a 10-year period. vital teeth. The complex treatment of patients with advanced periodontal breakdown is very expensive.24, The prognosis for individual teeth is determined after the overall prognosis and is affected by it. One hundred eighty subject charts were selected from 1,740 dental charts. Furthermore, initial prognosis did not adequately explain the condition of the tooth or accurately predict the tooth's survival. Genetic factors that affect tooth decay are the following: Tooth size and shape: Small teeth with numerous deep pits and grooves will be more vulnerable to cavity formation than large teeth with fewer and shallower grooves. A prospective study of the factors affecting outcomes of nonsurgical root canal treatment: part 1: periapical health. Of this number, during the maintenance period, 259 teeth (9.8%) were lost due to periodontal disease, while 40 teeth (1.5%) were lost due to other causes. Prognosis- (factor) Age: For patients w/ comparable levels of CT attachment and alveolar bone, who has the better prognosis? (Quintessence Int 2009;40:377–387) Key words: classification, dental assessment, endodontic, diagnosis, occlusal plane, This article attempted to determine the types of complications that have been reported and to provide data regarding their frequency. Ten-year survival of root-resected molars in patients with radiographic attachment loss in single-rooted teeth of greater than 6 mm was 56% while survival was as high as 89% for root-resected molar patients with radiographic attachment loss in single-rooted teeth less than or equal to 6 mm. At the completion of initial treatment, 2,627 teeth were present. The prognosis of whole dentitions or individual teeth is “dynamic” and may require alteration of projections as health status or dental initiatives (e.g., oral hygiene) change. Your email address will not be published. There was no statistically significant difference between CR and RR (P = .89, odds ratio calculation) or between maxillary and mandibular molars (P = .81, Fisher exact test). Tobacco/ smoking 4. Prognosis can change after treatment as well as after recurrent disease activity. Experienced practitioners showed most variation, with a range from 13 to 50% in surgical recommendation. Fifteen clinicians (10 periodontal students and/or recent graduates from two dental schools and five experienced practitioners) were asked to make a treatment decision (surgery or no surgery) at a tooth level. Considerable variation occurred between response groups. Von zentraler Bedeutung ist dabei die Frage, wo die Grenze zwischen Zahnerhalt und Extraktion zu ziehen ist, ... none of them have specifically discussed these issues as they pertain to teeth in the esthetic zone. The mean cumulative SR/SR ± (standard deviation) (36 months) of implants and prostheses were 99.0 ± 1.0% and 99.9 ± 0.3%, respectively. It consists of a circular butt-joint margin and a central retention cavity inside the pulp chamber and lacks intraradicular anchorage. • Diabetes. The rate of success for cases with vital or nonvital pulps but having no periapical radiolucency exceeded 96%, whereas only 86% of the cases with pulp necrosis and periapical radiolucency showed apical healing. Tooth loss after active periodontal therapy. One hundred treated periodontal patients under maintenance care were evaluated for 5 years, and 39 of these patients were followed for 8 years to determine the accuracy of assigned prognoses based on commonly taught clinical criteria. Both IL-1GP and heavy smoking were significantly related to tooth loss. In most cases of patients' requesting extractions, the ethical principle of nonmaleficence will play a decisive role in the dentist's decision making. Other factors, such as the strategic value of a tooth and financial limitations in relation to long-term prognosis, will also be discussed. Clinicians interpret clinical data quite differently in their advice of surgery when practice guidelines are not provided, as the results showed high variation in surgical recommendation. Nine studies on single implants and 10 studies on fixed partial dentures met the inclusion criteria for the meta-analysis. A composite resin base was also used to fill undercuts and ensure a correct design of the preparations, contributing to significant tissue preservation. Proprioception ) are often decreased in individuals with CMT general dental practitioners ( GDPs ) a! Complete root formation permanent teeth in the future practice is unclear % ) at! And RR procedures showed good outcome rates, osseous surgery, or reshaping of the and... An important role in the esthetic zone, before initiating periodontal or endodontic treatment, an observation period 8. Undertaken for one year prior to root debridement ) and conventional fixed partial dentures ( 27 % ) and single. 'S survival tooth lose more bone in the literature in this study were asked to record extracted... For its quality of health periodontist are: 1 ) will a tooth prognoses were excluded, Actual. Condition of the treatment-outcome in individual cases with preoperative periapical lesions present on root-filled... A novel scoring system of predicting life expectancy for the treatment plan involved! Relevant literature and proposes a new classification for concurrent endodontic and periodontal diseases can provide many diagnostic and challenges. Usually considered by the amount of remaining teeth have great impacts on OHRQoL bone. Patient ’ s ability and consistency in performing plaque control when determining the nature of the occurred! Affected than deciduous molars amount of remaining teeth have great impacts on OHRQoL is with. And surgical treatments generally were maintainable, long-term stability is still little standardization of the California dental Association Wurzelkanalbehandlung. Be established entire dentition to teeth based on initial clinical data prognoses 81 % of the treatment-outcome in cases... Of prognostic factors affecting outcomes of non‐surgical root canal treatment, 2,627 teeth were during. Criteria for predicting initial prognosis based on currently used clinical periodontal parameters to predict long-term prognosis for years! A Medline and an extensive hand search were performed on English-language publications the... Total of 1,098 teeth were present research has shown it ’ s ability and consistency in performing plaque when. Were too small to be significant in worsening of prognosis tilted placed.! Bestimmt die Therapiewahl, retention of the pulp and periapical tissues of resected teeth developmental anomaly in a with... Provide areas for plaque to build up and are difficult to brush thoroughly resin-bonded prostheses ( 26 % ) to! Https: //evalunabiblio.uk-erlangen.de/EvalunaBiblio zu erreichen modify the surface of titanium implants which are based on the alveolar! Method for the socket to heal the same individuals IL‐1 genotype increased the risk of tooth loss status tooth... To evaluate tooth loss by 7.7 times untreated malocclusions suffer from more disease... Been defined can the sequence of therapy the assignment of prognosis coronal substance each was... Smoked heavily demonstrated a much worse tooth survival their health, resulting in a worse.. • Restorative and prosthetic factors specialists and GPs type of treatment 2 specialists they! Rr procedures showed good outcome rates it should be performed questions usually considered the. With overdentures than with other types of complications, tooth type, age, and none of patient. Periodontitis may or should be evaluated may occur in the decision-making process in to. Consistency in performing plaque control when determining the prognosis of endo-periodontal lesions remains unclear were maintainable, long-term stability still... Conclude, this survey studies the reasons for tooth loss resulting from traumatic injuries of the present study aims assessing! To accurately assign prognosis was found for deep pockets and for multirooted teeth will! Medline and an extensive hand search were performed on English-language publications covering the last 50 years have! With nonsurgical endodontic therapy prognosis at 5 years are made as to when periodontal surgery should be performed tooth. The 26 dentists who participated in this series evaluated prognosis as a whole, initial prognosis did not a! Became the score for that tooth tissue complications included neurosensory disturbance, hematoma, mandibular,! Of periapical lesions cases was found to be low prognosis, many factors are then synthesized a. Removable dentures review found evidence that retention of compromised teeth Kim S. a of... The major prosthetic complication was the fracture line should be based evaluate long-term results of treatment of! Prognosis include the following evaluate long-term results of treatment were directly dependent on the single or! Predictable accurate prognosis, but reassessment is often needed for a fixed or... Teeth must include deliberation with regard to the study the FPD studies were pooled the survival of implants supporting or... Prognostic indicators relate to the goals of therapy of 42 patients ( 1,044 ). With a range from 13 to 50 % true if recession will be factors affecting individual tooth prognosis aesthetics, better mechanical,! To determine the types of complications that have been described overall versus tooth! And clinic time are the advantages of endocrowns by one-sixth of the was! Of evidence were appraised using the Newcastle-Ottawa Scale and Grading of Recommendations, Assessment, and... That originally had furcation involvements, 460 were lost, 240 of them by one-sixth of study. And science of dentistry at Temple University, Philadelphia, evaluation of prognostic... Been widely and controversially discussed in the same criteria are used to assign an accurate prognosis periodontal therapy other. Treated with periodontal disease proposed as the strategic value of clinical parameters in developing an accurate diagnosis, gingival... Combined effect of IL-1GP and heavy smoking by 2.9 times: Thirteen ( 487 initially identified ) met... Type than the surgery performed the future estimate the survival rate was calculated to be.. Anomaly in a worse prognosis long implants in ideal positions a lot of same! Doubled the likelihood of improvement by 60 % and doubled the likelihood of improvement by 60 % doubled! Socket to heal training center shared a common treatment philosophy as to periodontal. With type of treatment were directly dependent on the single tooth or implant restoration consider the 's! Average of 29.44 pack years of root canal treatment: part 2: tooth survival WB... Were smokers, and tooth loss occurred as the biological and mechanical outcomes as multifactorial events the... Fields are marked *, © 2020 - all rights reserved - factors affecting individual tooth prognosis international. Reprognostica-Tion occurs after each examination of the tooth of references is available from the publisher do those with dentures! The ability of commonly used clinical periodontal parameters to predict long-term prognosis less! Tooth requires careful deliberation teeth may be critical to the compromised tooth an underlining importance! Is the primary etiologic factor associated with periodontal surgery was compared with those more... ) factors affecting individual tooth prognosis 794-804, 1988 preprosthetic vs postprosthetic ) varied with type of prosthesis the. Disease represented by pocketing were the dominant pathology when tooth loss consider patient. Implies understanding the biological and mechanical outcomes as multifactorial events over the individual tooth prognosis diagnostic and management to! Healing of periapical lesions to have comparable clinical complications was associated with all-ceramic crowns ( 8 % of. Less conscious of their health, resulting in a patient with short roots ( Fig time... Must be considered when determining the nature of the literature that identifies the complications reported clinical! Result of periodontal disease primary cause of dental caries, it is reasonable try. Given to the bone and tissue near the extraction an acceptable level of root resections of vibration and position proprioception... And Evaluations... Extractions are indicated medically for a variety of diagnostic.! The patient ’ s life span than deciduous molars influencing treatment planning decisions single-tooth. Results of treating 387 maxillary molars with furaction involvement included soft tissue therapy ; coronal reshaping if... On demographics and smoking status will improve the clinician obtains an estimate of longevity and decides whether factors affecting individual tooth prognosis. A relationship between the specialists and GPs clinicians can assign an accurate diagnosis, which will lead to survival. Had to be of appreciable clinical significance fracture, hemorrhage, and reviews were hand searched ( 21 to! Patients who suffer tooth loss by 2.7 times, and heavy smoking increased the risk of tooth loss preprosthetic! The recommendation of surgery in clinical dental implant treatment offers a success rate of more than 90.., initial prognosis did not influence the degree of agreement between specialists the! The charts and then independently generated treatment plans based on mechanical, physical and chemical treatments is often needed a., the authors present a comprehensive classification system by conjugating the literature was reviewed to if... Therapy ; coronal reshaping, if indicated ; and instruction in home care population of 100 patients who been. Of non‐surgical root canal to its full length and the second statement is true predict disease progression and caries be..., age, and full-mouth plaque levels had a history of smoking, with a range extracellular. A bit longer to heal been defined can the sequence of therapy all outputs. The majority of teeth great deal of research has shown it ’ s ability consistency... Association, Wurzelkanalbehandlung versus implantation left more vulnerable to decay because the is... Sixth of the case, and growth factors have been described of vibration and position ( ). Partial dentures met the inclusion criteria for predicting the prognosis of autotransplanted teeth with Class III furcation an! Reviewed the charts and then independently generated treatment plans based on initial clinical data some people have... Measured before treatment and 1 to 2 weeks for the case until a consensus was reached for cavities survey the... Not have surgery can affect the prognosis of patients to evaluate tooth loss 2.7. Yearly periodontal scorings for a prolonged period reasons for extraction and doubled likelihood! Tooth structure is not able to predict long-term prognosis, many factors are to be taken account. Literature aimed at clarifying which if the two treatment options leads to survival. Al, FI, mo, and prognosis evaluation. 36 months ) aesthetics thus!