Bhuva Bhavin, Shah Pareet, Mannocci Francesco
Honorary Clinical Lecturer, King´s College London, UK; Consultant in Endodontics, Guy´s Hospital, Guy´s and St Thomas´ NHS Trust, UK; Specialist in Endodontics, Private Practice, United Kingdom.
Senior Clinical Lecturer and Deputy Director Implant MSc, UCL Eastman, London, UK; Specialist in Prosthodontics, Private Practice, United Kingdom.
Br Dent J. 2025 May;238(10):779-791. doi: 10.1038/s41415-025-8337-8. Epub 2025 May 23.
There remains huge variability in decision-making when it comes to whether a compromised tooth requiring endodontic treatment should be saved, or extracted and replaced with an implant. Both internal and external biases, as well as inconsistent data from clinical studies, further complicate this frequent clinical conundrum. This paper presents tangible outcomes for both root-filled teeth and dental implants, together with comparative research to help clinicians better understand the available data. It is hoped that we can also highlight the key considerations when treatment planning for both root-filled teeth and dental implants. Both treatment modalities have excellent survival rates, but at the same time, neither is a panacea. Holistic and thoughtful consideration is required to help guide patients to make well-informed choices regarding their treatment.
在决定一颗需要进行牙髓治疗的患牙是应该保留还是拔除并植入种植体时,决策过程仍然存在巨大差异。内部和外部偏见,以及临床研究中不一致的数据,进一步使这个常见的临床难题变得更加复杂。本文展示了根管治疗牙齿和种植牙的实际效果,以及对比研究,以帮助临床医生更好地理解现有数据。希望我们还能突出在为根管治疗牙齿和种植牙制定治疗计划时的关键考虑因素。两种治疗方式都有出色的存活率,但同时,它们都不是万能的。需要进行全面而深入的考虑,以帮助引导患者就其治疗做出明智的选择。