Comparison of implant success versus endodontically treated teeth: A retrospective cohort study

Choosing between endodontic preservation and implant replacement for compromised teeth poses key clinical challenges for outcomes and costs. Hence, this retrospective cohort study compared 198 implants and 214 endodontically treated teeth at a university hospital (2018- 2020) over five years. Success rates reached 89.3% for endodontically treated teeth and 93.4% for implants (p=0.142), with survival at 94.9% and 96.5% respectively (p=0.423). Complication rates were comparable overall, though types differed between the two modalities. Thus, both treatments offer excellent long-term predictability, supporting endodontic therapy as a viable alternative to implants for suitable teeth.