For patients torn between the best way to treat a compromised tooth, a 2007 systematic review comparing two of the most common treatment options – root canals and dental implants – found virtually equal success, or survival rates, between both treatments.

However, despite this similarity, the authors concluded that the priority should always be to preserve the natural tooth before extracting and replacing with an implant. In the majority of cases, endodontic treatment can save a diseased or injured tooth--more than 17 million a year. Sometimes, a tooth cannot be saved, and will need to be extracted and replaced with a prosthetic, or artificial, tooth. Talk to your dentist or endodontist about your treatment options so that you make the best choice for your long-term health. If your dentist suggests extracting the tooth, ask him or her to discuss your case with an endodontist, a dentist with specialized training in endodontic procedures.

The results of the treatment analysis were published by the International Journal of Oral and Maxillofacial Implants, the official publication of the Academy of Osseointegration, an organization committed to advancing dental implants. The Academy also published a consensus statement developed by experts from several dental disciplines that supports the comparison’s findings and stresses the importance of patient-specific considerations.

Finally, we offer you two excellent articles that will present a wealth of information; knowledge that will help you to decide which treatment is appropriate for your case. Consult with your general dentist and the endodontist after reading these: a consensus of opinion is what is first required for the best treatment outcome.

Endodontic Re-Treatment or Implants: A Contemporary Conundrum


AAE Clinical Newsletter on Implants


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