کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3136387 1584968 2016 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Endodontic treatment options after unsuccessful initial root canal treatment : Alternatives to single-tooth implants
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی دندانپزشکی، جراحی دهان و پزشکی
پیش نمایش صفحه اول مقاله
Endodontic treatment options after unsuccessful initial root canal treatment : Alternatives to single-tooth implants
چکیده انگلیسی

Background and OverviewInitial root canal treatment is highly successful, appreciated by patients, and cost-effective, but failures occur. Should a tooth with unsuccessful initial root canal treatment be treated by means of other endodontic procedures or be replaced by a single-tooth implant?ResultsResults from systematic reviews of the outcomes of nonsurgical retreatment, apical surgery, replantation, and autotransplantation show high tooth survival rates. Nonsurgical retreatment generally is prioritized before surgical endodontic treatment. Microsurgical endodontic treatment is superior to traditional surgical endodontic treatment and has high survival rates. Intentional replantation remains a viable alternative to extraction. Autotransplantation has a place, particularly in growing patients with an appropriate donor tooth. Single-tooth implants have higher survival rates, but the natural state has intrinsic value.ConclusionsThe first-line treatment option after failure of initial root canal treatment is nonsurgical retreatment. Endodontic surgery, intentional replantation, and autotransplantation should be considered before extraction and replacement by a single-tooth implant.Practical ImplicationsComprehensive case assessment, evaluation of all endodontic options, and risk assessment for caries and periodontal disease are always necessary when choosing the optimal treatment for a patient when initial root canal treatment has failed to heal.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Journal of the American Dental Association - Volume 147, Issue 3, March 2016, Pages 214–220
نویسندگان
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