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GS6: Is the Terminal Dentition Terminal?

November 12, 2023 @ 1:15 pm - 3:15 pm


Robert A. Levine

Maurizio Tonetti


Joan Otomo-Corgel


1:15 p.m. – Introduction by Dr. Joan Otomo-Corgel

1:20 – 2:25 p.m. – Dr. Maurizo Tonetti:

Differential diagnosis of stage IV periodontitis and treatment objectives.

Establish tooth and case prognosis for stage IV periodontitis.

Understand and apply the logic of the EFP S3 clinical practice guidelines for stage IV periodontitis.

2:30 – 3:15 p.m. – Dr. Robert Levine:

Saving a “terminal” dentition has many patient-centered benefits. Reduce a complex dual arch implant treatment plan to a single arch via a The Periodontal Risk Score (formerly known as the MMPPI) is a simple, powerful, evidenced-based statistically validated, and an accurate motivational tool that can be easily incorporated into clinical practice in avoiding “fully terminating” a complete dentition.


Course Description

Successful periodontal practice involves proactive planning. Implants are not a panacea, but when does one make the determination that the natural dentition is terminal? Two esteemed clinicians will present different options. Maintaining and treating the Stage IV dentition will have varying parameters. Transition strategies require extensive planning. This course will help the clinician determine when, what, where, and how to keep versus extract and place (or not) dental implants.

Educational Objectives

• Understand the stage IV classification with its clinical implications.
• Establish a rationale for setting treatment objectives in stage IV periodontitis.
• Strategize to determine when a dentition is terminal.
• Understand the benefits of incorporating the PRS into your practice to save teeth.
• Understand options when transitioning from teeth to implants.


November 12, 2023
1:15 pm - 3:15 pm
Program Track:


American Academy of Periodontology