CHICAGO – November 4, 2024 – The American Academy of Periodontology (AAP) is concerned by recent reports suggesting that some dental practitioners are unnecessarily extracting teeth and replacing them with dental implants. As specialists trained in preventing and treating periodontal disease—a leading cause of tooth loss—periodontists are committed to preserving natural teeth whenever possible. These practices, highlighted in a CBS News report, and the suggestion that such decisions may be financially motivated, present a serious concern for patient care.
“Establishing and maintaining oral health, including preserving natural teeth should be a priority in treatment planning,” said AAP President Dr. Mia Geisinger. “Patients should be informed of the full range of treatment options and their risks and benefits before considering extraction. Open and honest discussions with a dental professional are crucial to ensure patients are comfortable with their treatment plan.”
The AAP advises patients at risk of tooth loss to seek guidance from a dental professional skilled in preserving natural teeth, such as a periodontist. If a dental implant is necessary, it should be performed by a practitioner with expertise in risk assessment, treatment planning, and surgical procedures. The treatment plan should include long-term implant maintenance to maximize success.
“It’s important to understand that while dental implants do not get tooth decay, they are susceptible to gum and bone loss,” Dr. Geisinger emphasized. “Implants require diligent home care and regular dental visits. They can be an effective alternative to replace teeth that cannot be saved, but treating and maintaining a natural tooth is preferable whenever possible.”
The AAP is dedicated to supporting its members in promoting optimal patient health and quality of life. Dental practitioners who replace savable teeth with implants unnecessarily undermine this mission.
Dr. Geisinger concluded, “Periodontists are dental specialists with advanced training focused on both extending the life of teeth as well as surgical dental implant placement. They are committed to helping patients maintain healthy, natural teeth. When a dental implant is the best option, periodontists pursue it with the patient’s long-term stability and success in mind.”
For more information about the AAP, visit perio.org.
