Saving tooth with extreme bone loss by way of periodontal regeneration (PR) gives advantages equal to — or better than — changing them with dental implants or bridges, in accordance with a research that tracked sufferers for 20 years, the European Federation of Periodontology (EFP) reported.
“The concept that a tooth with extreme lack of bone should all the time be eliminated isn’t essentially true,” mentioned Dr. Simone Cortellini of KU Leuven in Belgium, one of many lead investigators. “This research exhibits that regeneration is a strong choice that can provide sufferers many extra years with their very own tooth.”
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The randomized trial, introduced at EuroPerio11 in Vienna, adopted 50 sufferers with superior periodontitis. Every had at the very least one tooth with attachment loss reaching or exceeding the basis tip. Half the group acquired PR therapy to avoid wasting the tooth, whereas the opposite half had the tooth extracted and changed with a dental implant or fastened bridge.
After 20 years, each approaches proved efficient. Simply 4 tooth have been misplaced within the PR group, in comparison with two implant failures within the alternative group. Gum well being remained secure and therapy prices have been decrease within the regeneration group.
“Changing a tooth shouldn’t be essentially higher than saving it,” Cortellini mentioned. “If we are able to protect the pure tooth, we delay extraction for a few years — and that’s a win for sufferers and dental care techniques.”
The research emphasizes cautious affected person choice and follow-up, noting that regeneration isn’t appropriate for everybody.
