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Endodontics or implants?
From Volume 45, Issue 6, June 2018 | Pages 506-521
Article
Endodontic treatment and implant placement are two different treatment modalities that can be utilized to restore function for a patient. When presented with a tooth that has pulpal or periapical infection and a potentially poor prognosis, a number of factors need to be taken into account; these include patient preferences, tooth and periapical factors and evidence-based outcome for both treatment options.
Endodontic treatment aims to treat and maintain the tooth through either non-surgical or surgical approaches, whereby placement of a dental implant improves function by replacing a missing or a tooth of hopeless prognosis. Outcome studies on both treatment modalities appear to yield similar results, however, it must be emphasized that success criteria for outcome in endodontic treatment is strict when compared to that of implants.
There are a number of factors that can influence the outcome of each of the treatment options and knowledge of these is paramount when making an informed decision. Table 1 summarizes some of the main factors to take into consideration for treatment planning when presented with a tooth with infection and a potentially poor prognosis.
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