Summary:
Purpose: To answer the following clinical question: Which is the best treatment option for a pulpally involved tooth?
N= 45 articles
Inclusion: 2 RCT, 22 prospective, 17 retrospective cohort studies, 2 cross sectional, and 2 cost- effectiveness analysis studies on humans, 1 year follow-up and published (2006–2016)
Materials/Methods:
•A manual search and electronic search in the Cochrane, PubMed (MEDLINE), and ScienceDirect databases between December 2015 and February 2016.
•2 independent researchers screened the articles
Most highlighted Results:
•The success rate of endodontic treatment varies from 42%–86% after 2 to 10 years
•The success rate of endodontic retreatment from 84%–88% after 4 to 10 years
•The apical surgery success rate ranges from 59%–93% after 1 to 10 years,
•The survival rate of dental implants varies from 91%–100% after 1 to 10 years. None of the articles have assessed the success rates.
•The survival rate of single-tooth implants was greater than the success rate of the endodontic treatments
•However, no important differences between both treatments were observed until at least 8 years later.
Clinical significance
The endodontic treatment and the implant placement are both valid and complementary options for planning oral rehabilitation; although there is a lack of randomized clinical trials.