The perceived prognosis of endodontic treatment and implant therapy among dental practitioners

Stockhausen, Rachel; Aseltine, Robert H.; Matthews, J. Greg; Kaufman, Blythe

doi:10.1016/j.tripleo.2010.10.007

Cited by 14 publications

(6 citation statements)

References 90 publications

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“…Singla and Aggarwal used a spiral CT to report a C-shaped canal involving 2 different canals in the palatal root of a maxillary second molar 20. Recently, Kottoor and colleagues used CBCT to identify the apical third of the palatal root bifurcated into 2 different palatal roots similar to that in the case of our patient 21. In the case of our patient, CBCT images provided valuable information about the canal/root configuration and confirmed the presence of 4 canals and the relationship of the unusual C-shaped canal with the 3 buccal canals, which were not clearly visualized in the diagnostic periapical radiograph.…”

Section: Discussionmentioning

confidence: 64%

Endodontic management of a C-shaped maxillary first molar with three independent buccal root canals by using cone-beam computed tomography

et al. 2012

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The aim of this study was to present a method for endodontic management of a maxillary first molar with unusual C-shaped morphology of the buccal root verified by cone-beam computed tomography (CBCT) images. This rare anatomical variation was confirmed using CBCT, and nonsurgical endodontic treatment was performed by meticulous evaluation of the pulpal floor. Posttreatment image revealed 3 independent canals in the buccal root obturated efficiently to the accepted lengths in all 3 canals. Our study describes a unique C-shaped variation of the root canal system in a maxillary first molar, involving the 3 buccal canals. In addition, our study highlights the usefulness of CBCT imaging for accurate diagnosis and management of this unusual canal morphology.

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Section: Discussionmentioning

confidence: 64%

Endodontic management of a C-shaped maxillary first molar with three independent buccal root canals by using cone-beam computed tomography

et al. 2012

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“…In one study from Canada 91 there was an increasing preference for an implant-supported restoration compared with root canal retreatment. Conversely, another study 92 found that there was not a shift towards implant treatment compared with endodontic treatment, despite a perception that implant treatment produced a better outcome.…”

Section: Quality Of Lifementioning

confidence: 95%

Treatment planning the endodontic-implant interface

Saunders

2014

Br Dent J

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One of the most challenging treatment planning decisions in restorative dentistry is the retention of a root filled tooth or its extraction and replacement with an implant. Making an informed judgement relies upon not only clinical experience and expertise but also interpretation of the published clinical evidence. In the last few years, more robust data and closer scrutiny of the evidence has helped to understand the advantages and disadvantages of each of these treatment modalities. The purpose of this paper is to provide a narrative review of some of the factors that may influence treatment planning for root canal treated teeth and indications for whether these teeth would be better replaced by an implant. From the evidence presented it is clear that both treatments have a place in contemporary restorative dental treatment and that survival for both root filled teeth and implants are similar. Unsurprisingly, both these treatment choices require high standards of clinical expertise and careful planning to ensure the best outcome.

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“…28 Stockhausen et al found that although there was no evidence that clinicians were increasing their prescription of implant therapy, there was a perceived superior outcome of implant compared with endodontic treatment amongst dentists. 29…”

Section: Decision Making In Endodonticsmentioning

confidence: 99%

Shared Decision Making in Endodontics

Rajagopal¹,

Kelly

2020

Prim Dent J

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Engaging patients in shared decision making (SDM) is a professional requirement since the Montgomery ruling in 2015. Endodontic treatments present a specific challenge to achieving SDM, both for the clinician and the patient. The treatments are often perceived as more challenging to complete by the clinician, and the assessment of risk and likely outcome requires a deep understanding of the (limited) evidence base. For the patient, decisions can be required at a time of acute symptoms and prolonged treatments. There are health literacy demands in comparison to some less complex dental treatments. Treatment decisions may be based more on inherent biases and prior experiences than objective probabilities. This article discusses options and supports effective shared decision making in endodontic treatment.

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The perceived prognosis of endodontic treatment and implant therapy among dental practitioners

Cited by 14 publications

References 90 publications

Endodontic management of a C-shaped maxillary first molar with three independent buccal root canals by using cone-beam computed tomography

Endodontic management of a C-shaped maxillary first molar with three independent buccal root canals by using cone-beam computed tomography

Treatment planning the endodontic-implant interface

Shared Decision Making in Endodontics

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