| Article ID | Journal | Published Year | Pages | File Type |
|---|---|---|---|---|
| 3147452 | Journal of Endodontics | 2015 | 7 Pages |
•The first systematic review comparing the survival of implant-supported crowns and intentionally replanted teeth.•The survival rate of implant supported crowns is 97%.•The survival rate of intentionally replanted teeth is 88%.•The survival of intentionally replanted teeth was by no means too low, and it should be considered as an alternative treatment modality in selected cases for patients who like to save their natural dentition.
IntroductionAlthough nonsurgical initial root canal treatment and retreatment have high success rates, periapical disease can remain. The survival rates of 2 surgical procedures, intentionally replanted (IR) teeth and implant-supported single crowns (ISCs), have yet to be compared. The purpose of this systematic review and meta-analysis was to examine the literature and quantify the survival of IR teeth and compare it with that of ISCs.MethodsSystematic searches were enriched by citation mining. Weighted survival means and 95% confidence intervals (CI) were estimated using a random-effects model and compared.ResultsThe quality of the IR and ISC articles was only moderate. Data for ISCs were much more plentiful than for IR teeth. Meta-analysis revealed a weighted mean survival of 88% (95% CI, 81%–94%) for IR teeth. Root resorption was reported with a mean prevalence of 11%. The weighted mean survival of ISCs was 97% (95% CI, 96%–98%). The mean survival of ISCs was significantly higher than that of IR teeth (P < .001). A recent study on IR teeth indicated that orthodontic extrusion before intentional replantation improved survival rates.ConclusionsA systematic review and meta-analysis found that the mean survival of ISCs was significantly higher than IR teeth. However, treatment decisions must be based on a wide variety of treatment and patient-specific parameters. Intentional replantation may have a role when ISC is not practicable. Studies using contemporary treatment and analytic methods should be used to identify and measure intentional replant prognostic and treatment variables.
