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Periodontal disease, or gum disease, is a chronic bacterial infection that damages the gums and bone supporting the teeth, and eventually leads to tooth loss if not treated. And in most cases, the goal of periodontal therapy is to save as many teeth as possible. However, if teeth have a poor prognosis, it might be necessary for overall oral health to remove the teeth in order to preserve the underlying bone.
Saving compromised teeth too long can lead to extensive damage to the underlying bone, creating a situation where it would be impossible to eventually replace the teeth with dental implants without extensive bone grafting. In such cases, most periodontists will recommend extracting the compromised teeth in order to preserve bone for dental implants, which is the ideal long-term solution for tooth replacement.