In the esthetic zone, difficult decisions must be made regarding extraction or retention of compromised teeth. Numerous factors need to be considered to arrive at a proper treatment plan that may be different than in the posterior part of the mouth. The potential for bone loss or crown lengthening, as well as numerous other things need to be considered when deciding to save or extract a tooth in the esthetic zone: restorability, disease susceptibility, papillary and gingival considerations, tooth esthetics, etc.
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The goal of every dentist is to preserve the health of his or her patients’ masticatory system, as well as to anticipate the long-term results when restorative treatment is provided. Better care can be provided to patients if occlusal disease and/or temporomandibular disorders are detected early and properly treated. Treating occlusal disease can lead to a long, healthy life of the dentition as well as to restorative success.
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