Saving enamel with extreme bone loss via periodontal regeneration (PR) provides advantages equal to — or better than — changing them with dental implants or bridges, in accordance with a examine that tracked sufferers for 20 years, the European Federation of Periodontology (EFP) reported.
“The concept a tooth with extreme lack of bone should at all times be eliminated isn’t essentially true,” mentioned Dr. Simone Cortellini of KU Leuven in Belgium, one of many lead investigators. “This examine reveals that regeneration is a robust choice that can provide sufferers many extra years with their very own enamel.”
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The randomized trial, introduced at EuroPerio11 in Vienna, adopted 50 sufferers with superior periodontitis. Every had not less than one tooth with attachment loss reaching or exceeding the basis tip. Half the group acquired PR remedy 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 enamel have been misplaced within the PR group, in comparison with two implant failures within the alternative group. Gum well being remained secure and remedy prices have been decrease within the regeneration group.
“Changing a tooth will not be essentially higher than saving it,” Cortellini mentioned. “If we will protect the pure tooth, we delay extraction for a few years — and that’s a win for sufferers and dental care methods.”
The examine emphasizes cautious affected person choice and follow-up, noting that regeneration isn’t appropriate for everybody.
