A comparative study of endodontic treatment versus surgical procedures in managing dental trauma and tooth avulsion

Dental trauma, particularly tooth avulsion, poses a significant challenge in both pediatric and adult dentistry. Effective management of avulsed teeth is crucial for long-term dental health, as it impacts survival rates, pulp vitality, clinical healing, pain levels, and aesthetic outcomes. Ninety patients were randomly assigned to receive either endodontic treatment or surgical replantation and their outcomes were assessed over 12 months. Data showed that surgical replantation had higher survival rates, better clinical healing and improved aesthetic satisfaction compared to endodontic treatment. Pulp vitality declined more in the endodontic group and pain levels were significantly lower in the surgical group. Thus, we show that surgical replantation is generally more effective for managing avulsed teeth, particularly when performed promptly.