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Choice of Treatment Plan Based on Root Canal Therapy versus Extraction and Implant Placement: A Mini Review.

Parirokh M, Zarifian A, Ghoddusi J - Iran Endod J (2015)

Bottom Line: Indubitably, the treatment plan for each patient is exclusive and "tailor-made" and cannot be used for all patients.Currently, one of the most challenging aspects in dentistry is the choice between extraction and placement of implant (EPI) instead of a complicated root canal treatment (RCT).This mini-review compares RCT to EPI from various aspects to help practitioners in routine decision making.

View Article: PubMed Central - PubMed

Affiliation: Endodontology Research Center, Dental School, Kerman University of Medical Sciences, Kerman, Iran;

ABSTRACT
Case selection and treatment plan are important aspects of endodontic treatment. Dentists should organize the treatment plan based on their knowledge, abilities, skills and more importantly the patients' preference and dentition. Indubitably, the treatment plan for each patient is exclusive and "tailor-made" and cannot be used for all patients. Dentists' selfestimation of their abilities opens up treatment options; however, in difficult or complicated cases it is advisable to refer to a specialist. Currently, one of the most challenging aspects in dentistry is the choice between extraction and placement of implant (EPI) instead of a complicated root canal treatment (RCT). Overemphasis on one treatment plan while neglecting other options, not only mislead the dentist but also impose unnecessary charges to the patients. This mini-review compares RCT to EPI from various aspects to help practitioners in routine decision making.

No MeSH data available.


Related in: MedlinePlus

A) Inflammation and resorption of the bone surrounding the implant; B) Sinus perforation during implantation; C) Inappropriate case selection and placement of implant adjacent to a cariously involved root; D) Unsatisfactory esthetic following implant placement in anterior portion of maxilla; E) Neglecting the inclination of the second mandibular molar and food impaction between the tooth and implant. The dentist tried to expand the composite restoration of the second molar to make a contact between the tooth and the implant, but the patient still suffers from food impaction in that area; F) Metallic artifacts due to amalgam in posterior teeth has led to difficulty in observation of adjacent areas: compare the axial view of the anterior teeth to the posterior teeth; G-I) Split root and impossibility of restoration makes it very difficult to impossible to treat and place post-core crown for the first mandibular molar; J) Severe root resorption in maxillary right incisor makes it impossible to keep the tooth
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Figure 1: A) Inflammation and resorption of the bone surrounding the implant; B) Sinus perforation during implantation; C) Inappropriate case selection and placement of implant adjacent to a cariously involved root; D) Unsatisfactory esthetic following implant placement in anterior portion of maxilla; E) Neglecting the inclination of the second mandibular molar and food impaction between the tooth and implant. The dentist tried to expand the composite restoration of the second molar to make a contact between the tooth and the implant, but the patient still suffers from food impaction in that area; F) Metallic artifacts due to amalgam in posterior teeth has led to difficulty in observation of adjacent areas: compare the axial view of the anterior teeth to the posterior teeth; G-I) Split root and impossibility of restoration makes it very difficult to impossible to treat and place post-core crown for the first mandibular molar; J) Severe root resorption in maxillary right incisor makes it impossible to keep the tooth

Mentions: Incorrect treatment planning may result in implant failure, so the dentists should not always think of implant placement as the ideal treatment. Although implant is a highly successful treatment, failure is probable (Figure 1A-E).


Choice of Treatment Plan Based on Root Canal Therapy versus Extraction and Implant Placement: A Mini Review.

Parirokh M, Zarifian A, Ghoddusi J - Iran Endod J (2015)

A) Inflammation and resorption of the bone surrounding the implant; B) Sinus perforation during implantation; C) Inappropriate case selection and placement of implant adjacent to a cariously involved root; D) Unsatisfactory esthetic following implant placement in anterior portion of maxilla; E) Neglecting the inclination of the second mandibular molar and food impaction between the tooth and implant. The dentist tried to expand the composite restoration of the second molar to make a contact between the tooth and the implant, but the patient still suffers from food impaction in that area; F) Metallic artifacts due to amalgam in posterior teeth has led to difficulty in observation of adjacent areas: compare the axial view of the anterior teeth to the posterior teeth; G-I) Split root and impossibility of restoration makes it very difficult to impossible to treat and place post-core crown for the first mandibular molar; J) Severe root resorption in maxillary right incisor makes it impossible to keep the tooth
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4509120&req=5

Figure 1: A) Inflammation and resorption of the bone surrounding the implant; B) Sinus perforation during implantation; C) Inappropriate case selection and placement of implant adjacent to a cariously involved root; D) Unsatisfactory esthetic following implant placement in anterior portion of maxilla; E) Neglecting the inclination of the second mandibular molar and food impaction between the tooth and implant. The dentist tried to expand the composite restoration of the second molar to make a contact between the tooth and the implant, but the patient still suffers from food impaction in that area; F) Metallic artifacts due to amalgam in posterior teeth has led to difficulty in observation of adjacent areas: compare the axial view of the anterior teeth to the posterior teeth; G-I) Split root and impossibility of restoration makes it very difficult to impossible to treat and place post-core crown for the first mandibular molar; J) Severe root resorption in maxillary right incisor makes it impossible to keep the tooth
Mentions: Incorrect treatment planning may result in implant failure, so the dentists should not always think of implant placement as the ideal treatment. Although implant is a highly successful treatment, failure is probable (Figure 1A-E).

Bottom Line: Indubitably, the treatment plan for each patient is exclusive and "tailor-made" and cannot be used for all patients.Currently, one of the most challenging aspects in dentistry is the choice between extraction and placement of implant (EPI) instead of a complicated root canal treatment (RCT).This mini-review compares RCT to EPI from various aspects to help practitioners in routine decision making.

View Article: PubMed Central - PubMed

Affiliation: Endodontology Research Center, Dental School, Kerman University of Medical Sciences, Kerman, Iran;

ABSTRACT
Case selection and treatment plan are important aspects of endodontic treatment. Dentists should organize the treatment plan based on their knowledge, abilities, skills and more importantly the patients' preference and dentition. Indubitably, the treatment plan for each patient is exclusive and "tailor-made" and cannot be used for all patients. Dentists' selfestimation of their abilities opens up treatment options; however, in difficult or complicated cases it is advisable to refer to a specialist. Currently, one of the most challenging aspects in dentistry is the choice between extraction and placement of implant (EPI) instead of a complicated root canal treatment (RCT). Overemphasis on one treatment plan while neglecting other options, not only mislead the dentist but also impose unnecessary charges to the patients. This mini-review compares RCT to EPI from various aspects to help practitioners in routine decision making.

No MeSH data available.


Related in: MedlinePlus