Treatment Planning of Implants Vs Endodontics

One of the most common and challenging dilemmas in modern dentistry is deciding whether to save a compromised tooth with endodontic therapy or extract it and place a dental implant. This decision-making process requires a careful evaluation of biological, functional, and patient-specific factors. This course provides a comprehensive framework for comparing the long-term prognosis of root canal treatment (RCT) versus single-tooth implants. It moves beyond the simplistic "implants are better" narrative to examine the evidence supporting the retention of the natural dentition whenever feasible. The curriculum explores the critical criteria for assessing tooth restorability, including the amount of remaining coronal structure, periodontal status, and strategic value of the tooth. It delves into the success and survival rates of both modalities, highlighting that while implants have high survival rates, they are not immune to biological complications like peri-implantitis. Conversely, the course addresses the complexities of endodontic retreatment and apical surgery, offering a realistic view of what can be achieved with modern microscope-enhanced endodontics. Finally, this course addresses the patient's perspective, including cost-effectiveness, time commitment, and psychological impact of tooth loss. It outlines a structured treatment planning algorithm to guide clinicians through the gray areas, ensuring that the final choice aligns with the patient's health, finances, and long-term goals. By weighing the risks and benefits of each option objectively, dental professionals can provide truly informed consent and ethical care.