Saving teeth with periodontal-endodontic therapy

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3 methods to increase survival rates of replacement dental implants after initial failure

Dental implants traditionally are successful tooth-replacement options, but complications can occur. Should the initial implant fail, the patient is often left with a difficult decision regarding replacement options.

Replacing a failed implant with a second implant has a lower success rate and often requires soft- and/or hard-tissue grafting, longer healing time, new abutments/crowns, and additional costs for the patient. Before reimplantation, it is wise to ascertain the etiology of the initial implant failure as well as techniques to improve osseointegration of the replacement implant. There are three clinical methods I use to improve the survival rate of replacement implants after initial implant failure.

Scott Froum, DDS, Editorial Director



Saving teeth with periodontal-endodontic therapy

Dr. Zev Lazarus presents a case study showing how periodontal-endodontic therapy can save a tooth with a guarded prognosis from extraction. Cyst enucleation and bone grafting are used to repair a periodontal defect, followed by subepithelial connective tissue grafting to correct Miller Class III recession.

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