Comparison of Clinical and Radiographic Results of Single Tooth Implants against Endodontic Treatment with Post and Crown Repair

Mohammad Ali Esmaeeli; Ehsan Rafiei; Parisa Ranjbarian; Nasim Maghamipour

doi:10.18502/ijds.v18i2.10534

Mohammad Ali Esmaeeli Graduated of Dentistry, School of Dentistry, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran.
Ehsan Rafiei Assistant Professor, Department of Periodontics, School of Dentistry, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran.
Parisa Ranjbarian Assistant Professor, Department of Endodontics, School of Dentistry, Islamic Azad University, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran.
Nasim Maghamipour Postgarduate Student, Department of Periodontics, School of Dentistry, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran.

DOI: https://doi.org/10.18502/ijds.v18i2.10534

Keywords: Treatment outcome, Single tooth implant, Root canal therapy, Dental implant.

Abstract

Introduction: The choice between the two modes of treatment, endodontic treatment and single tooth implants are very different depending on the dentist, design, definition of successful outcomes, evaluation methods, and sample size. The aim of this study was to compare the clinical and radiographic results of single tooth implants versus endodontic treatment with post and crown restoration in patients referred to the School of Dentistry of Islamic Azad University of Isfahan

Materials & Methods: In this cross-sectional analytical study in the academic year 2021, 90 (46 females and 44 males) patients after recording demographic information and medical status, during three different time intervals post treatment (under 3 years, 3 to 5 years and Over 5 years) were examined clinically and radiographically (periapical). Outcome of treatment was classified based on clinical and radiographic findings into three categories: successful, surviving and unsuccessful. Data were analyzed using Chi-squared test (α = 0.05).

Results: In this study, 60% of women and 40% of men had endodontic treatment and 42.2% of women and 57.8% of men had single tooth implants. There was no significant difference between the treatment outcomes in the studied groups (p value > 0.521). There was no statistically significant relationship between gender and type of treatment as well as gender and treatment satisfaction (p value > 0.05).

Conclusion: Considering the preservation of natural teeth, if possible, root canal treatment is the main treatment of choice, otherwise a single-tooth implant can be a good alternative to missing or extracted teeth in terms of successful outcomes.