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Differences in masticatory function in patients with endodontically treated teeth and single-implant-supported

Karl F Woodmansey¹, Murat Ayik, Peter H Buschang

¹Department of Endodontics, Baylor College of Dentistry, The Texas A&M University System Health Science Center, Dallas, Texas 75246, USA.

Journal of Endodontics

|December 17, 2008

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Endodontically treated teeth function better for chewing than dental implants. Natural teeth with root canals showed similar chewing ability to healthy teeth, unlike implants which had lower bite force and efficiency.

Area of Science:

Dental science
Restorative dentistry
Biomaterials science

Background:

Restoring compromised dentition often involves endodontic treatment or dental implants.
The impact of these restorative options on masticatory function remains understudied.

Purpose of the Study:

To compare masticatory function between endodontically treated teeth and single-implant supported prostheses.
To evaluate maximum bite force, chewing efficiency, and occlusal contact areas.
To assess subjective chewing ability in patients undergoing these treatments.

Main Methods:

Fifty patients were divided into two groups: 25 with endodontically treated mandibular molars and 25 with single implant-supported prostheses.
Contralateral natural teeth served as internal controls.

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Measurements included maximum bite force, chewing efficiency, and areas of occlusal contact and near contact (ACNC).

A questionnaire assessed subjective chewing ability.

Main Results:

Dental implants demonstrated significantly lower maximum bite forces compared to controls.
Chewing efficiency and areas of occlusal contact and near contact (ACNC) were reduced in the implant group.
Endodontically treated teeth showed no significant difference in masticatory parameters compared to their contralateral controls.

Conclusions:

Endodontically treated natural teeth may offer superior occlusal contact and more efficient mastication compared to implant-supported restorations.
Natural teeth restored with endodontics maintain masticatory function more effectively than single dental implants.