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Table of Contents

1. Introduction 03

2. History

2.1. History of Endodontics 05

2.2. History of Implantology 10

2.3. Methods in Endodontics and implantology therapy 13

2.3.1. Endodontic Microsurgery to Save Teeth 15

2.3.2. Same day (Immediate) load implantation 17

3. Factors influence the treatment plan

3.1. Survival rates 19

3.2. Patient factors 24

3.3. Treatment duration 27

3.4. Esthetics concerns 29

3.5. Treatment Cost 31

3.6. Risk factors 33

4. Conclusion

5. Acknowledgment

6. References

1. Introduction

Dentists frequently face the predicament of whether to endodontically treat a dubious tooth

or to replace it with an implant. Dentists make the decision for extracting a tooth based on

risk factors such as periodontal and endodontic criteria, remaining tooth structure, size of

previous restorations and the strategic level of a tooth within the dentition. A single

recognizable risk can be easy to manage clinically, but presence of multiple risk factors

endanger the survival of a compromised tooth.[114][156]

Literary data are the foundation for the risk evaluation and long-term prognosis

determination of the tooth requiring root canal treatment (RCT) or extraction and

replacement with an dental implant. The literature, contains contradiction in terms of the

meaning of success and survival of endodontically treated teeth and implants.[70]

Likewise, the reported success rates do not equate to the likelihood of a aid and abet

outcome when applied to a special case.[73]

Iqbal and Kim found that much more rigorous outcome criteria were applied to the

evaluation of ‘successful’ RCT, inclusive the lack of a periapical radiolucency. On the other

hand, the use of less rigorous criteria in dental implantology may interpret to higher rates

of success.[70]

In accordance with a review, the survival of healthful and treated teeth is greater than that

of implants, provided that dental implant loss before loading was added to that during

function over 10 years.[56]

Additional misunderstanding is provoked since, in some studies, retention or survival rates

including successful teeth and also implants classified as surviving. The reader in implant

studies must know the differences in outcome data based on the restoration or implant

level, which involves superstructures and Implants.[113]

(בעבודה האקדמית כ-20 מקורות אקדמיים באנגלית)