Re: Failed Apicoectomy?



Le Huart, all noted. FWIW in the future, anyone who cites
such studies, especially with an html link, gets extra
points.

Aside and nit: From my readings of history, most of medicine
has attempted to be evidence-based.


"Le Huart" <fritzfield@xxxxxxxxxxx> wrote
There are certainly no guarantees to any dental treatment.
An apico on a lower 2nd molar is very difficult and
guarded as to success at best.b We are into the age of
evidenced based medicine. The evidence shows a much higher
predictability of implants in the lower 2nd molar region
than does an apico. Autopsy studies from ITI have shown a
greater degree of osseointegration in older similar
implants placed over time in the same individual. The take
home is that osseointegration is a progressive phenomenon
and only improves with time. So, if one must maintain the
space of a lower 2nd molar, the more predictable
procedure is an implant. Ace Gorig said that he could do a
root canal on any tooth presented to him, but does that
mean compromised 2nd molars.

While it is illegal and unethical to guarantee a
medical/dental outcome, the manufacturers of implants have
enough evidence that some are doing just that.


.



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