In recent years, the rise of selective extracts of healthy or dental tooth for dental implants has achieved professional control. The media have reported alarming cases of irreversible procedures led by reasons in addition to the strict clinical necessity. In response, organizations such as the American Association of Endodontists (AAE) highlighted the moral check Keep natural teeth when possible.1
This manuscript examines the basics of clinical decisions, exploring the impact of marketing, training volatility and financial incentives on treatment planning decisions. The underlying defense concerns the patient’s focusing care, which prioritizes conservative choices based on evidence.
The implant burst and the moral crossroads
Implants (especially complete and cheekbone solutions) have become very popular But rather expensive. Individual units that cost thousands and full arches tens of thousands.2 Corporate strategies are further leading this trend.3 In the meantime, unauthorized training programs are not always sufficient to provide sufficient preparation, often not sufficient supervision and create variability in clinical capacity.
Social media have normalized implant therapy, sometimes depicting export as an upgrade of lifestyle. However, responsible treatment planning must be based on maintaining the health and long -term functioning of the patient.
Why teeth maintenance matters
Natural teeth offer advantages. Implants cannot be reproduced, including ownership, the operation of the periodontal association and immune defense.4.5 Implants are deprived of these biological properties and restore only about 80% of the bite force.6 The ambiguous marketing can lead patients to overlook these restrictions.
Read the relevant article: Understanding Process Codes: A practical look at dangers and ethics
Ethical gray zones
Some patients are advised to extract or treat healthy teeth for prosthetic convenience or aesthetics. These decisions can be accepted if they are driven by patients’ preference and supported by a detailed consensus.7 Some cases, however, have the consequences when maintenance is not sufficiently examined.2
Framework of clinical and moral evaluation
Rehabilitation evaluation includes the evaluation of periodontal, rehabilitation, endodontic and strategic value:
Periodontal: Teeth with severe bone loss or persistent disease may be non -durable.8
Stimulant: At least 1.5-2 mm zipper improves the stability of the restored teeth.9
Endodent: Complex anatomy, vertical fractures or unsolved infection may justify export.10
Strategic Value: Anterior teeth can support aesthetics and self -esteem, while molars provide molar and prosthetic stability.11
Risks of unjustified export
Implants are dangerous, such as surroundings, bone loss and failure, which often lead to expensive revisions.12 Emotional and economic burdens follow, especially problematic when patients were not fully informed. Thus, professional care requires a transparent discussion of these dangers.
Restoration of moral balance
To restore integrity to providing dental care:
Train patients: Report sustainable less invasive options.
Encourage the second views: Especially when the extracts are updated (complete clearance).1
Improve training opportunities: Make sure the educational programs that have been tested in the profession are available.
Limit financial concerns: Include insurance and 3D parties payers in the process.3
Conclusion
The extraction of healthy or restorative teeth exclusively to facilitate the placement of implants contradicts the fundamental conservative principles of dentistry. The maintenance of natural teeth should be promoted, supporting practices focusing on the patient based on evidence that respects the patient’s long -term health. General dental clinics have a crucial role in maintaining these standards by overall tooth rehabilitation, giving priority to transparent communication and promoting confidence in the patient-dental relationship. Maintaining these principles is essential for maintaining the integrity of the profession and ensuring that patients receive care that truly serves their interests.
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References
- Dkelman B, Werner A. Dentists pull healthy and therapeutic teeth to benefit from implants, experts warn. KFF Health News. 2024. Available from: KFF Health News
- Butkovic S. dentists pull healthy teeth, pressing implants for profit, reference findings. Dentistry. 2024. Available from: Dental
- Aae. Statement by the American Association of Endodontists. Aae. 2024.
- Afrashtehfar Ki, Assire NM, Alblooshi Kak, Schmidlin PR. Maintaining peripheral teeth seems more cost -effective than replacing them with dental implants. Evid based dent. 2024; 25 (3): 129-30. DOI: 10.1038/S41432-024-01050-2.
- Afrashtehfar Ki, Kazma Jm, Yahia I, Jaber Aa. Dental implants significantly increase the neighboring risk of losing teeth due to root fracture. Evid based dent. 2024; 25 (3): 123-4. DOI: 10.1038/S41432-024-01052-0.
- Afrashtehfar Ki, Jurado Ca, Abu Fanas Sh, Del Fabbro M. Short -term data indicate cognitive benefits to the elderly with over -stimulation of individual implants. Evid based dent. 2024; 25 (2): 71-2. DOI: 10.1038/S41432-024-00999-4.
- Guzman-Perez G, Jurado Ca, Alshahib A, Afrashtehfar Ki. An immediate implant approach to replace the failed upper anterior teeth due to orthodontically induced severe root absorption. Int j oral imbantol (Berl). 2023; 16 (4): 339-48.
- Newman MG, Takei HH, Carranza fa. Carranza’s clinical periodontology. 10th edition. St. Louis: Saunders Elsevier? 2006.
- Juloski J, Radovic I, Gracci C, Vulicevic Zr, Ferrari M. Ferrule Effect: A review of the literature. J EDOD. 2012; 38 (1): 11-9. Doi: 10.1016/J.Joen.2011.09.024.
- Sjogren U, Hagglund B, Sundqvist G, Wing K. Factors that affect the long -term effects of endodontic treatment. J EDOD. 1990, 16 (10): 498-504. DOI: 10.1016/S0099-2399 (07) 80180-4.
- Yeng T, Messer HH, Parashos P. Therapy Design or endodontic case. Aust Dent J. 2007, 52 (1 Suppl): S64-7. DOI: 10.1111/J.1834-7819.2007.TB00523.x.
- Afrashtehfar Ki, Desai VB, Afrashtehfar CDM. Preoperative administration of amoxicillin is not recommended for healthy patients undergoing implant surgery. Evid based dent. 2022; 23 (2): 78-80. DOI: 10.1038/S41432-022-0266-7.
About the writer
Dr. Afrashtehfar is a Proposal Certified by the Canadian Council with Dental Implantation Training with a sub -choice by Universität Bern. It ranks 2% of scientists worldwide, with advanced degrees from McGill, UBC and BERN. He works as an auxiliary school in Dubai and Switzerland, chooses internationally and focuses his practice on advanced implant and complete target recovery.
Dr. Freedman is a founder and previous president, the American Academy of Cosmetics Dentistry, Co -Founder, Canadian Academy for Aesthetic Dentistry, Regent and Fellow, International Academy of Dental Urbanity of the Facial and A Dental Dental Dental Head professor of Dental Medicine, Western University, Pomona, California. Writer 14 textbooks and> 1000 dental articles.
