Читать книгу Practical Procedures in Implant Dentistry - Группа авторов - Страница 46

Discussion of both short‐ and long‐term effects of tooth loss should be a part of establishing meaningful informed consent for extraction of a tooth or teeth. During the pre‐surgical consultation a thorough medical history should be taken with special consideration given to aspects which may be indicative of contraindications to surgical treatment or influence effective wound healing. A comprehensive extra‐ and intra‐oral examination should be conducted and informed consent to the planned treatment and extractions should be obtained. Previous extraction sites should be examined closely as well, discussing the history and reason for extraction while evaluating the healing response to the extraction. An evaluation of the patient's temporomandibular joint and occlusal stability may help determine if the individual is a candidate for a shortened dental arch. Lastly, an open discussion on the anticipated effect of tooth loss on patient function, aesthetics, and phonetics should be conducted.