The importance of saving teeth in endodontics and periodontology and its impact on social health

Abstract

This editorial argues that preserving natural teeth through endodontic and periodontal care should be recognized not only as a clinical objective, but also as a relevant social health priority. Oral health is a fundamental component of overall well-being, yet it remains insufficiently integrated into many public health strategies. In this perspective, endodontics and periodontology are presented as complementary disciplines that prevent tooth loss, preserve oral function, and support long-term quality of life.

The editorial emphasizes that maintaining natural dentition is biologically preferable whenever possible. Natural teeth preserve proprioception, masticatory efficiency, occlusal balance, and alveolar bone support, whereas tooth loss may lead to functional impairment, bone resorption, and more complex rehabilitative needs. Beyond these biological consequences, tooth loss can also affect speech, facial aesthetics, self-esteem, and social participation, with important repercussions for psychological well-being and social inclusion.

Particular attention is given to the economic and public health implications of tooth preservation. Early endodontic and periodontal interventions are described as more conservative and often more cost-effective than extraction followed by prosthetic replacement. The editorial therefore supports a shift from extraction-oriented models toward prevention, early treatment, and equitable access to tooth-preserving care, especially within government-funded oral health programmes. In this view, saving natural teeth is presented as a biologically sound, socially meaningful, and economically sustainable strategy.