Purpose:
Compare the outcomes, benefits, and harms of endodontic care and restoration compared to extraction and placement of ISCs, FPDs, or extraction without tooth replacement.
Materials/Methods:
N=143 articles
Searches performed in MEDLINE, Cochrane, and EMBASE databases were enriched by hand searches, citation mining, and expert recommendation.
Results:
- The studies varied considerably in design, success definition, assessment methods, operator type, and sample size.
- Direct comparison of treatment types was extremely rare.
- Success rates for ISCs were higher than for crowns on RCTx and FPDs, respectively
- Success criteria differed greatly among treatment types, making direct comparison of success rates impossible.
- Long-term survival rates for ISCs and RCTx were similar and superior to those for FPDs.
- “Initial endodontic treatment has high long-term survival rate for periodontally sound teeth that have pulpal and/or periapicalpathosis.”
Clinical Significance:
Implants and RCTx both have high success rates compared to ext and FPD placement.