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

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.