Treatment Alternatives Following Extraction of Teeth with Periodontal-Endodontic Lesions

Carlos E. Nemcovsky, Massimo del Fabbro, Ilan Beitlitum, Silvio Taschieri

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


Following extraction of tooth/teeth with advanced loss of periodontal support, as those with periodontal-endodontic lesions, the remaining bone architecture should be carefully evaluated, especially where implant-supported restoration is planned. Marked resorption of the residual alveolar bone is usually appreciated 3 months after tooth extraction. This process may impair implant-supported restoration outcome, especially in the upper jaw, where esthetics is a key factor. Different treatment alternatives are available at the time of tooth extraction, namely immediate implant placement, primary soft tissue closure of the extraction site that may be followed by early implant placement, ridge preservation, and ridge augmentation. For each clinical case, treatment possibilities should be considered and evaluated according to tooth location, esthetics, soft tissue characteristics, infection, number of implants simultaneously placed, available bone volume, bony defects, and treatment convenience.
Original languageAmerican English
Title of host publicationEndodontic-Periodontal Lesions: Evidence-Based Multidisciplinary Clinical Management
EditorsIgor Tsesis, Carlos E. Nemcovsky, Joseph Nissan, Eyal Rosen
Place of PublicationCham
PublisherSpringer International Publishing AG
Number of pages54
ISBN (Electronic)978-3-030-10725-3
ISBN (Print)978-3-030-10724-6
StatePublished - 2019


Dive into the research topics of 'Treatment Alternatives Following Extraction of Teeth with Periodontal-Endodontic Lesions'. Together they form a unique fingerprint.

Cite this