Endodontics versus implantology: To extirpate or integrate?
An increasingly frequent dilemma in restorative dentistry is the question of whether to retain a badly damaged tooth and restore it, or to remove and possibly replace it. Given the ethical difficulties inherent in testing this question, it is unlikely that we will ever see a properly designed clinic...
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| Veröffentlicht in: | Australian endodontic journal Jg. 32; H. 2; S. 57 - 63 |
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| Format: | Journal Article |
| Sprache: | Englisch |
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Melbourne, Australia
Blackwell Publishing Asia
01.08.2006
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| ISSN: | 1329-1947, 1747-4477 |
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| Abstract | An increasingly frequent dilemma in restorative dentistry is the question of whether to retain a badly damaged tooth and restore it, or to remove and possibly replace it. Given the ethical difficulties inherent in testing this question, it is unlikely that we will ever see a properly designed clinical trial that will provide an answer. One of the most strongly debated components of this question is whether endodontic treatment and restoration can compete with a dental implant‐borne prosthesis in terms of longevity and success. In the current paper, the authors will attempt to: (i) answer this question based on our current understanding of the dental literature; and (ii) provide practitioners with guidelines that might be applied to their daily practices. |
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| AbstractList | An increasingly frequent dilemma in restorative dentistry is the question of whether to retain a badly damaged tooth and restore it, or to remove and possibly replace it. Given the ethical difficulties inherent in testing this question, it is unlikely that we will ever see a properly designed clinical trial that will provide an answer. One of the most strongly debated components of this question is whether endodontic treatment and restoration can compete with a dental implant‐borne prosthesis in terms of longevity and success. In the current paper, the authors will attempt to: (i) answer this question based on our current understanding of the dental literature; and (ii) provide practitioners with guidelines that might be applied to their daily practices. An increasingly frequent dilemma in restorative dentistry is the question of whether to retain a badly damaged tooth and restore it, or to remove and possibly replace it. Given the ethical difficulties inherent in testing this question, it is unlikely that we will ever see a properly designed clinical trial that will provide an answer. One of the most strongly debated components of this question is whether endodontic treatment and restoration can compete with a dental implant-borne prosthesis in terms of longevity and success. In the current paper, the authors will attempt to: (i) answer this question based on our current understanding of the dental literature; and (ii) provide practitioners with guidelines that might be applied to their daily practices.An increasingly frequent dilemma in restorative dentistry is the question of whether to retain a badly damaged tooth and restore it, or to remove and possibly replace it. Given the ethical difficulties inherent in testing this question, it is unlikely that we will ever see a properly designed clinical trial that will provide an answer. One of the most strongly debated components of this question is whether endodontic treatment and restoration can compete with a dental implant-borne prosthesis in terms of longevity and success. In the current paper, the authors will attempt to: (i) answer this question based on our current understanding of the dental literature; and (ii) provide practitioners with guidelines that might be applied to their daily practices. |
| Author | Dawson, Anthony S. Cardaci, Santo C. |
| Author_xml | – sequence: 1 givenname: Anthony S. surname: Dawson fullname: Dawson, Anthony S. email: tony@canberraprosthodontics.com.au organization: Private Prosthodontic Practice, Canberra, Australian Capital Territory, Australia – sequence: 2 givenname: Santo C. surname: Cardaci fullname: Cardaci, Santo C. organization: Private Endodontic Practice, Perth, Western Australia, Australia |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/16869944$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1034/j.1600-0501.000.00934.x 10.1046/j.1365-2591.2002.00557.x 10.1097/01.don.0000145031.04236.ca 10.1067/mpr.2002.122014 10.1111/j.1600-0501.2005.01209.x 10.1111/j.1834-7819.1994.tb04785.x 10.1111/j.1365-2591.2004.00892.x 10.1034/j.1600-051X.29.s3.12.x 10.1097/00004770-200312000-00001 10.1111/j.1600-051X.1977.tb01881.x 10.1016/S0099-2399(06)80976-3 10.1097/00004770-200205000-00008 10.1016/0022-3913(89)90369-7 10.1111/j.1600-0501.2004.01120.x 10.1016/j.prosdent.2004.11.001 10.1007/s007840050119 10.1080/19424396.2004.12223997 10.1097/01.don.0000153593.64951.14 10.1902/jop.2004.75.10.1404 10.1111/j.1600-0722.2005.00233.x 10.1016/0022-3913(92)90072-I 10.1111/j.1600-0501.2004.01119.x 10.1097/00004770-200101000-00017 10.1016/S0099-2399(87)80155-3 10.1034/j.1600-9657.2000.016005218.x 10.1111/j.1365-2591.1995.tb00150.x 10.1016/S0099-2399(07)80198-1 10.1016/S1079-2104(97)90126-8 10.1038/sj.bdj.4802433 10.1111/j.1708-8208.2005.tb00075.x 10.1016/S0099-2399(07)80180-4 |
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| References_xml | – reference: Swanson K, Madison S. An evaluation of coronal microleakage in endodontically treated teeth. Part I. Time periods. J Endod 1987; 13: 56-9. – reference: Grundstrom L, Nilner K, Palmqvist S. An 8-year follow-up of removable partial denture treatment performed by the Public Dental Health Service in a Swedish county. Swed Dent J 2001; 25: 75-9. – reference: Albrektsson T, Wennerberg A. Oral implant surfaces: Part 2 - review focusing on clinical knowledge of different surfaces. Int J Prosthodont 2004; 17: 544-64. – reference: Ray HA, Trope M. Periapical status of endodontically treated teeth in relation to the technical quality of the root filling and the coronal restoration. Int Endod J 1995; 28: 12-18. – reference: Fennis WM, Kuijs RH, Barink M, Kreulen CM, Verdonschot N, Creugers NH. Can internal stresses explain the fracture resistance of cusp-replacing composite restorations? Eur J Oral Sci 2005; 113: 443-8. – reference: Priest G. Single-tooth implants and their role in preserving remaining teeth: a 10-year survival study. Int J Oral Maxillofac Implants 1999; 14: 181-8. – reference: Tronstad L, Asbjornsen K, Doving L, Pedersen I, Eriksen HM. Influence of coronal restorations on the periapical health of endodontically treated teeth. Endod Dent Traumatol 2000; 16: 218-21. – reference: Belli S, Erdemir A, Ozcopur M, Eskitascioglu G. The effect of fibre insertion on fracture resistance of root filled molar teeth with MOD preparations restored with composite. Int Endod J 2005; 38: 73-80. – reference: Bornstein MM, Schmid B, Belser UC, Lussi A, Buser D. Early loading of non-submerged titanium implants with a sandblasted and acid-etched surface. 5-year results of a prospective study in partially edentulous patients. Clin Oral Implants Res 2005; 16: 631-8. – reference: Eckert SE, Choi YG, Sanchez AR, Koka S. Comparison of dental implant systems: quality of clinical evidence and prediction of 5-year survival. Int J Oral Maxillofac Implants 2005; 20: 406-15. – reference: Friedman S, Abitbol S, Lawrence HP. Treatment outcomes in endodontics: The Toronto Study. Phase 1: Initial Treatment. J Endod 2003; 29: 787-93. – reference: Fokkinga WA, Kreulen CM, Vallittu PK, Creugers NH. A structured analysis of in vitro failure loads and failure modes of fiber, metal, and ceramic post-and-core systems. Int J Prosthodont 2004; 17: 476-82. – reference: Esposito M, Grusovin MG, Coulthard P, Thomsen P, Worthington HV. A 5-year follow-up comparative analysis of the efficacy of various osseointegrated dental implant systems: a systematic review of randomized controlled clinical trials. Int J Oral Maxillofac Implants 2005; 20: 557-68. – reference: Attard NJ, Zarb GA. Long-term treatment outcomes in edentulous patients with implant-fixed prostheses: the Toronto study. Int J Prosthodont 2004; 17: 417-24. – reference: Tan K, Pjetursson BE, Lang NP, Chan ES. A systematic review of the survival and complication rates of fixed partial dentures (FPDs) after an observation period of at least 5 years. III. Conventional FPDs. Clin Oral Implants Res 2004; 15: 654-66. – reference: Pjetursson BE, Tan K, Lang NP, Brägger U, Egger M, Zwahlen M. A systematic review of the survival and complication rates of fixed partial dentures (FPDs) after an observation period of at least 5 years. I. Implant supported FPDs. Clin Oral Implants Res 2004; 15: 625-42. – reference: Sullivan D, Vincenzi G, Feldman S. Early loading of Osseotite implants 2 months after placement in the maxilla and mandible: a 5-year report. Int J Oral Maxillofac Implants 2005; 20: 905-12. – reference: Addy M, Bates JF. The effect of partial dentures and chlorhexidine gluconate gel on plaque accumulation in the absence of oral hygiene. J Clin Periodontol 1977; 4: 41-7. – reference: Pjetursson BE, Tan K, Lang NP, Bragger U, Egger M, Zwahlen M. 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| Title | Endodontics versus implantology: To extirpate or integrate? |
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