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Article: Volume 45 Number 6 Page 506 - June 2018

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  Dent Update 2018; 45: 506-521

Restorative dentistry:  Endodontics or Implants?

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Abstract: When faced with a tooth that is failing due to pulpal or periapical infection, a difficult treatment planning decision must be made between retention of the tooth through endodontic treatment or extraction and potential replacement with a dental implant. Survival rates for these treatment modalities appear similar from the literature. This review article attempts to explore different factors that should be taken into consideration, in particular the available evidence, predictability and risks of treatment, patient centred-outcomes and cost-effectiveness of the different treatment options.

Clinical relevance: This review article aims to provide an overview of the recent evidence and factors to consider, to aid in treatment planning decisions between endodontic treatment and dental implant replacement for a failing tooth.

Author notes: Jennifer Fuller, BDS(Hons), BSc(Hons), MJDF RCS(Eng), Specialty Registrar in Restorative Dentistry, Royal London Dental Hospital, Peter Briggs, BDS(Hons), MSc, MRD RCS(Eng), FDS RCS(Eng), Consultant in Restorative Dentistry, Royal London Dental Hospital, E1 2AD; Specialist Practitioner, Farningham, DA4 0DH and George Bourne, BDS, MFDS RCS(Ed), Specialty Registrar in Restorative Dentistry, Royal London Dental Hospital; Practitioner, Chelsea, London, SW10 9NA, UK.

Objective: To provide an overview of treatment planning decisions between endodontic treatment and dental implant replacement.

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