Endodontics, Endodontic Retreatment, and Apical Surgery Versus Tooth Extraction and Implant Placement: A Systematic Review.

By Chércoles-Ruiz A, Sánchez-Torres A, Gay-Escoda C. Title: Endodontics, Endodontic Retreatment, and Apical Surgery

Date: 07/2017
Journal: JOE


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)


  •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.