Compare the outcomes, benefits, and harms of endodontic care and restoration compared to extraction and placement of ISCs, FPDs, or extraction without tooth replacement.
Searches performed in MEDLINE, Cochrane, and EMBASE databases were enriched by hand searches, citation mining, and expert recommendation.
- 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.”
Implants and RCTx both have high success rates compared to ext and FPD placement.