Planejamento individual de um dente: manter ou substituir por implante?

Abstract

Facing a periodontal compromised tooth, sometimes, it is necessary to decide among keep it through regenerative techniques or replace it by an implant. The evolution, as in biomaterials area as in dental implants, expanded and sophisticated the therapeutic arsenal, making the planning more complex. The fact of being an isolated tooth or a probable prosthesis abutment has a great impact on the decision. Local aspects related on the degree of periodontal destruction, the tooth position in the arc and its morphologic features need to be considered, besides factors related with patient systemic condition, motivation and habits. All this issues make that in literature there is no rigid protocol to be followed. What exist are guidelines that, depending on the particularities of each situation, will guide the formulation of the best specific plan to a pacient.