SEPES BILBAO 2025

¿Terminal dentition... Quo vadis?

For over a decade, the term “terminal dentition”, has unquestionably gained a lot of traction in the dental community, and it implies that there is a need to remove a patient’s remaining dentition. But how do we reach such stage or conclusion? Does it mean the same to everybody?

The reality is that the term terminal dentition is actually a “dentist made term”.

Of the same token, until this day, there seems to be confusion among dental practitioners as to what is the ideal prosthetic solution for these patients, therefore this presentation will discuss a linear algorithm that allows the treating team to decide when to choose to give up hope on the remaining dentition as well as a classification that will help decide among the different restorative designs available. 

Learning objectives:

• review a treatment planning algorithm that facilitates the assessment of the remaining dentition.

• review a simple classification (ltr classification) that helps identify the patient´s condition and therefore decide the ideal treatment design for each given patient.

• improve communication amongst the treating team.

 CV

1. Certificate in Prosthodontics as well as a Master of Science in Dentistry from the University of Washington.

2. He currently holds academic affiliations at the University of Washington and is a resident faculty at SPEAR Education in Scottsdale Arizona.

3. He has given over 600 lectures around the globe.

4. Private practice in Mexico City

5. He has been recently conferred the title of Doctor Honoris Causa by the University of Buenos Aires. This distinguished recognition, one of the highest honors bestowed by the university, celebrates Dr. Mitrani’s significant contributions to the field of dentistry and his unwavering commitment to advancing clinical excellence and leadership.

6. He is a member of several organizations including the American Academy of Esthetic Dentistry and the American Academy of Restorative Dentistry.