Table of Contents
ISRN Dentistry
Volume 2011 (2011), Article ID 640509, 8 pages
Review Article

Comparison of the Success Rate of Endodontic Treatment and Implant Treatment

The University of Manchester, Oxford Road, Manchester M13 9PL, UK

Received 27 February 2011; Accepted 18 April 2011

Academic Editor: M. Tanomaru-Filho

Copyright © 2011 Ranya Faraj Elemam and Iain Pretty. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Dentists and patients are facing a perplexity between saving a compromised tooth through endodontic treatment and restoration or by extraction and replacement with an implant. The purpose of this paper was to compare the success rates of these two treatments. Success was measured as the longevity of the tooth or implant. Studies which met strict inclusion criteria to ensure best evidence were included. Searches were performed in Ovid Medline, Pubmed, Scopus database, and the Cochrane Library. Evidence-based groups were formed following the assessment of inclusion/exclusion criteria. The overall success rates for primary endodontic, nonsurgical retreatment, and surgical treatment were (86.02%), (78.2%), and (63.4%), respectively, implants was 90.9%. In conclusion, choice between implant and endodontic therapy cannot be exclusively based on outcome as both treatments differ in the biological process, diagnostic modalities, failure patterns, and patients preferences. More research is required with improved study designs before long-term success rates can be compared.