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Treatment following extraction of teeth with periodontal–endodontic lesions: damaged buccal bony wall

  • Carlos E. NemcovskyEmail author
  • Massimo del Fabbro
  • Ilan Beitlitum
  • Silvio Taschieri
Treatment
  • 3 Downloads
Part of the following topical collections:
  1. Periodontics

Abstract

In compromised teeth with periodontal–endodontic lesions, the decision to extract or maintain the teeth is complex while considering the endodontic, periodontal and reconstructive aspects of these teeth. Extraction of teeth with untreatable periodontal–endodontic lesions having severe alveolar bone damage can lead to difficulty in their surgical management. Various treatment approaches are available following the extraction of compromised teeth based on the patients’ risk profile, and clinical and radiographic evaluation.

Keywords

Periodontal–endodontic lesions Immediate implants Ridge preservation Bone graft Connective tissue graft Early implant placement Soft tissue Primary closure 

Notes

Further reading

  1. 1.
    Tsesis I et al (eds) Treatment alternatives following extraction of teeth with periodontal–endodontic lesions. In: Endodontic-periodontal lesions.  https://doi.org/10.1007/978-3-030-10725-3_8 CrossRefGoogle Scholar
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    Garcia J, Dodge A, Luepke P, Wang HL, Kapila Y, Lin GH (2018) Effect of membrane exposure on guided bone regeneration: a systematic review and meta-analysis. Clin Oral Implants Res 29(3):328–338.  https://doi.org/10.1111/clr.13121 CrossRefPubMedGoogle Scholar
  3. 3.
    MacBeth N, Trullenque-Eriksson A, Donos N, Mardas N (2017) Hard and soft tissue changes following alveolar ridge preservation: a systematic review. Clin Oral Implants Res 28(8):982–1004.  https://doi.org/10.1111/clr.12911 CrossRefPubMedGoogle Scholar
  4. 4.
    Jung RE, Ioannidis A, Hämmerle CHF, Thoma DS (2018) Alveolar ridge preservation in the esthetic zone. Periodontology 77(1):165–175.  https://doi.org/10.1111/prd.12209 CrossRefGoogle Scholar
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    Beitlitum I, Sebaoun A, Nemcovsky CE, Slutzkey S (2018) Lateral bone augmentation in narrow posterior mandibles, description of a novel approach, and analysis of results. Clin Implant Dent Relat Res 20(2):96–101.  https://doi.org/10.1111/cid.12580 CrossRefPubMedGoogle Scholar
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    Wessing B, Lettner S, Zechner W (2018) Guided bone regeneration with collagen membranes and particulate graft materials: a systematic review and meta-analysis. Int J Oral Maxillofac Implants 33(1):87–100.  https://doi.org/10.11607/jomi.5461 CrossRefPubMedGoogle Scholar
  7. 7.
    Daga D, Mehrotra D, Mohammad S, Singh G, Natu SM (2015) Tentpole technique for bone regeneration in vertically deficient alveolar ridges: a review. J Oral Biol Craniofac Res 5(2):92–97.  https://doi.org/10.1016/j.jobcr.2015.03.001 CrossRefPubMedPubMedCentralGoogle Scholar
  8. 8.
    Beitlitum I, Artzi Z, Nemcovsky CE (2010) Clinical evaluation of particulate allogeneic with and without autogenous bone grafts and resorbable collagen membranes for bone augmentation of atrophic alveolar ridges. Clin Oral Implants Res 21(11):1242–1250.  https://doi.org/10.1111/j.1600-0501.2010.01936.x CrossRefPubMedGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of Periodontology and Dental ImplantologyMaurice and Gabriela Goldschleger School of Dental MedicineTel AvivIsrael
  2. 2.Department of Biomedical, Surgical and Dental Sciences, IRCCS Istituto Ortopedico Galeazzi, Dental ClinicUniversità degli Studi di MilanoMilanItaly

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