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Endodontic therapy or single tooth implant? A systematic review
Mahmoud Torabinejad1, Jaime Lozada, Israel Puterman
1School of Dentistry, Loma Linda University, CA 92350, USA.
Journal of the California Dental Association
|July 30, 2008
Summary
Endodontic therapy for teeth with pulpal involvement shows high long-term survival rates, comparable to single tooth implants. However, implants are recommended as the primary choice for tooth replacement after extraction.
Area of Science:
- Dental science
- Oral surgery
- Restorative dentistry
Background:
- Deciding between endodontic therapy and extraction with single tooth implants for compromised teeth is a clinical challenge.
- Both treatment modalities aim to restore function and aesthetics but have different long-term outcomes.
Purpose of the Study:
- To systematically review and compare the long-term survival rates of endodontic treatment versus single tooth implants.
Main Methods:
- A systematic review of existing literature was conducted.
- Treatment outcomes and survival rates were analyzed based on available studies.
Main Results:
- Initial endodontic treatment demonstrated a high long-term survival rate.
- This survival rate was found to be equivalent to that of implant-supported restorations replacing missing teeth.
Conclusions:
- Endodontic therapy is a viable option with high success rates for saving teeth with pulpal involvement.
- Single tooth implants should be considered the preferred first treatment option when extraction and replacement are necessary.
