Diagnosing “terminal dentition” presents a significant challenge in clinical dentistry, requiring an understanding of advanced oral pathologies. Pathologies may arise from damage to either tooth structure or the periodontal hard and soft tissues. When a dentition is terminal, it is not a simple binary question; issues such as whether the dentition is terminal now or will be in the future must be evaluated. Maybe the better question is, “How have we established a diagnosis of a terminal dentition.” Is the diagnosis based on subjective data centered on what a patient expresses, or is the diagnosis based on state-of-the-art algorithms that offer a structured diagnostic approach that includes objective data? An algorithm based on critical criteria such as stage IV periodontitis, rampant caries that result in unrestorable teeth, and/or extensive tooth loss should be the cornerstone for a terminal dentition diagnosis and subsequent treatment. This multifactorial approach should integrate evidence-based clinical...
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February 2025
EDITORIAL|
March 13 2025
Proper Diagnosis of the “Terminal Dentition”
Bill Anderson, DDS;
Bill Anderson, DDS
Comprehensive Oral Implantology Program, Jacksonville University, Jacksonville, Florida
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John D. Erdeljac, DDS;
John D. Erdeljac, DDS
Comprehensive Oral Implantology Program, Jacksonville University, Jacksonville, Florida
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Shankar Iyer, DDS;
Shankar Iyer, DDS
International Academy of Dental Facial Esthetics, New York, New York
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Edgard El Chaar, DDS, MS, EMBA/MS;
Edgard El Chaar, DDS, MS, EMBA/MS
University of Pennsylvania, Dental Medicine, Philadelphia, Pennsylvania
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James L. Rutkowski, DMD, PhD
James L. Rutkowski, DMD, PhD
Comprehensive Oral Implantology Program, Jacksonville University, Jacksonville, Florida Journal of Oral Implantology Chicago, Illinois Department of Restorative Dentistry, State University of New York at Buffalo, Buffalo, New York
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J Oral Implantol (2025) 51 (1): 1–3.
Citation
Bill Anderson, John D. Erdeljac, Shankar Iyer, Edgard El Chaar, James L. Rutkowski; Proper Diagnosis of the “Terminal Dentition”. J Oral Implantol 1 February 2025; 51 (1): 1–3. doi: https://doi.org/10.1563/orim-51-1-editorial
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