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Comparative Study
. 2014 Jan;93(1):19-26.
doi: 10.1177/0022034513504782. Epub 2013 Sep 24.

Comparison of long-term survival of implants and endodontically treated teeth

F C Setzer  1 , S Kim
Affiliations
Comparative Study

Comparison of long-term survival of implants and endodontically treated teeth

F C Setzer et al. J Dent Res. 2014 Jan.

Abstract

The outcomes of both dental implants and endodontically treated teeth have been extensively studied. However, there is still a great controversy over when to keep a natural tooth and when to extract it for a dental implant. This article reviews the benefits and disadvantages of both treatment options and discusses success vs. survival outcomes, as well as the impact of technical advances for modern endodontics and endodontic microsurgery on the long-term prognosis of tooth retention.

Keywords: dental implants; endodontic therapy; oral health; outcome; systematic review; treatment planning.

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Conflict of interest statement

The authors received no financial support and declare no potential conflicts of interest with respect to the authorship and/or publication of this article.

Figures

Figure 1.
Figure 1.
Overall reported cumulative survival rates for restored single-unit implants and endodontically treated teeth. Modified from Iqbal and Kim, 2007.
Figure 2.
Figure 2.
Long-term outcome of restored single-unit implants and endodontically treated teeth in a non-selected patient population. Modified from Doyle et al., 2006.
Figure 3.
Figure 3.
Modern microendodontic procedure: identification and instrumentation of a calcified second mesiobuccal canal (MB2) in a first maxillary molar. (A) Overview after access cavity was prepared. Overhanging dentin covers MB2 (arrow)(10x magnification). (B) Identification of MB2 orifice with micro-instrument after ultrasonic removal of obstructing dentin (10x). (C) Initial preparation of MB2 (arrow) to allow for straight-line access (16x). (D) Fully instrumented MB2 canal prior to root filling (10x). Note mesial relocation of the orifice after complete debridement and instrumentation (arrow). Endodontic treatment by first author.
See this image and copyright information in PMC

References

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