title: Formulating a global prognosis and treatment plan for the periodontally compromised patient: a reconstructive vs. an adaptive approach.
abstract: The clinician faces treatment planning challenges when patients present with generalized severe chronic periodontitis that may result in tooth loss. This article provides a treatment planning discussion along with approaches for treating such patients. It presents the clinical question: What is the best means for approaching treatment planning in a patient with severe periodontitis requiring extraction and replacement of some teeth? Two treatment approaches are discussed—a reconstructive approach versus an adaptive one—both of which have an end goal of achieving periodontal health and occlusal stability, and each has its own advantages and disadvantages. In conclusion, utilizing a global prognostic approach will assist clinicians anticipate the eventual restorative needs of patients and prescribe customized periodontal and restorative therapies that best address those needs.
authors.affiliation: Department of Periodontics, University of Texas Health Science Center at San Antonio Dental School, San Antonio, Texas.
authors.forename: Weiqiang
authors.initials: W
authors.lastname: Loke
authors.affiliation: Department of Periodontics, University of Texas Health Science Center at San Antonio Dental School, San Antonio, Texas.
authors.forename: Angela M
authors.initials: AM
authors.lastname: Coomes
authors.affiliation: Department of Periodontics, University of Texas Health Science Center at San Antonio Dental School, San Antonio, Texas.
authors.forename: Adam
authors.initials: A
authors.lastname: Eskow
authors.affiliation: Department of Periodontics, University of Texas Health Science Center at San Antonio Dental School, San Antonio, Texas.
authors.forename: Matthew
authors.initials: M
authors.lastname: Vierra
authors.affiliation: Professor and Graduate Program Director, Department of Periodontics, University of Texas Health Science Center at San Antonio Dental School, San Antonio, Texas.
authors.forename: Brian L
authors.initials: BL
authors.lastname: Mealey
authors.affiliation: Associate Professor, Department of Periodontics, University of Texas Health Science Center at San Antonio Dental School, San Antonio, Texas.
authors.forename: Guy
authors.initials: G
authors.lastname: Huynh-Ba
mesh_terms: D055113:Chronic Periodontitis / Q000628:therapy*; D003131:Combined Modality Therapy; D003657:Decision Making; D019094:Dental Prosthesis, Implant-Supported; D003824:Denture, Complete; D004955:Esthetics, Dental; D006801:Humans; D008297:Male; D008875:Middle Aged; D009065:Mouth Rehabilitation / Q000379:methods*; D009910:Oral Hygiene; D010347:Patient Care Planning; D010512:Periodontal Index; D011379:Prognosis; D011862:Radiography, Panoramic; D014081:Tooth Extraction