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Treatment of Compromised teeth. Dr. Robert E. Grover.

30/01/2023

This Video Conference will be broadcast live through the ZOOM Platform:

Date: March 20, 2021
Time: 01:25 pm (EDT) / 06:25 pm (CET).
You will receive by email the link to join the broadcast

The recorded video will be available on this page at the end of the event.

NOTICE: the recorded video of this video conference is still being produced. We apologize for this delay.

“Treatment of Compromised teeth: What is possible?”
Dr. Robert E. Grover

Synopsis:
In their book, “Evidenced-Based Decision Making in Dentistry”, Dr’s Rosen, Nemcovsky, and Tsesis state that “the ultimate goal of conservative dental treatment is to preserve the natural dentition”. They recognize however, that in compromised cases, where a more complex multidisciplinary approach may be necessary, the attempt to retain a tooth for the long-term may be less predictable creating a potentially difficult decision for the clinician and therefore the patient. Should a compromised tooth be retained or extracted in favor of replacement with an implant? In their position paper on implants, the AAE stated that implants have “enhanced oral function for many patients by profoundly affecting treatment planning for teeth with an unfavorable prognosis, and for the rehabilitation of edentulous spaces”. Though implants were initially designated as replacements for missing teeth, many clinicians have migrated to using implants as substitutes for existing teeth.

The AAE’s position is that the “early removal of a compromised tooth and replacement with an implant” paradigm should be reconsidered. In 2014, the AAE released a treatment guide for compromised teeth including root amputations, resorptions, procedural complications, and endodontic retreatment. This guide provided treatment considerations and prognosis for each of the categories of compromised teeth. However, little consideration was given to the long-term outcomes of the treatment described in the guide.

Over the past seven years, Dr. Grover has followed over 4,000 of cases that he has treated since opening a private endodontic practice in 1995. Using the AAE’s decision making guide as a template, Dr. Grover will attempt to illustrate what is possible with regards to treatment of compromised teeth.

Learning objectives:
– Describe and understand what is meant by the term compromised teeth.
– Be able to discuss the benefits of retaining compromised teeth.
– Understand the conditions that may enhance the retention of compromised teeth.

“Treatment of Compromised teeth: What is possible?”
Dr. Robert E. Grover

Synopsis:
In their book, “Evidenced-Based Decision Making in Dentistry”, Dr’s Rosen, Nemcovsky, and Tsesis state that “the ultimate goal of conservative dental treatment is to preserve the natural dentition”. They recognize however, that in compromised cases, where a more complex multidisciplinary approach may be necessary, the attempt to retain a tooth for the long-term may be less predictable creating a potentially difficult decision for the clinician and therefore the patient. Should a compromised tooth be retained or extracted in favor of replacement with an implant? In their position paper on implants, the AAE stated that implants have “enhanced oral function for many patients by profoundly affecting treatment planning for teeth with an unfavorable prognosis, and for the rehabilitation of edentulous spaces”. Though implants were initially designated as replacements for missing teeth, many clinicians have migrated to using implants as substitutes for existing teeth.

The AAE’s position is that the “early removal of a compromised tooth and replacement with an implant” paradigm should be reconsidered. In 2014, the AAE released a treatment guide for compromised teeth including root amputations, resorptions, procedural complications, and endodontic retreatment. This guide provided treatment considerations and prognosis for each of the categories of compromised teeth. However, little consideration was given to the long-term outcomes of the treatment described in the guide.

Over the past seven years, Dr. Grover has followed over 4,000 of cases that he has treated since opening a private endodontic practice in 1995. Using the AAE’s decision making guide as a template, Dr. Grover will attempt to illustrate what is possible with regards to treatment of compromised teeth.

Learning objectives:
– Describe and understand what is meant by the term compromised teeth.
– Be able to discuss the benefits of retaining compromised teeth.
– Understand the conditions that may enhance the retention of compromised teeth.

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