HIGHClinicalTier 2

Prognosis for teeth is a belief, not a prediction

SourceRDH MagazineTier 2Clinical & Visual

By Joshua Grenier, DMD, MS

Originally at rdhmag.com

Summary & scoring by The Bell Brief (Dr. Jennifer Bell) using the Drill-Down Protocol (Drill-Down Score) — not the original publisher.

Why it matters for dental

For periodontists, general dentists, and hygienists, this finding shifts the emphasis from initial prognosis labels to measurable post-treatment behavior, directly affecting treatment planning and tooth-retention decisions.

Key points

  • Initial periodontal prognosis showed poor correlation with actual tooth loss in longitudinal studies.
  • Treatment response, patient biofilm control, and repeated reevaluation were stronger predictors of tooth survival.
  • Clinicians may delay extraction or implant decisions until response to nonsurgical or surgical therapy is documented.
  • Practice protocols should include structured reevaluation visits at 4–6 weeks and 3–6 months to reassess prognosis dynamically.

Who should care

SpecialistAssociateStaff

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