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The outcomes of both dental implants and endodontically treated teeth have been extensively studied. An assessment of whether to rehabilitate a tooth requiring endodontic treatment or to replace it with a dental implant can often involve a challenging and complex decision making process for clinicians now a days. This review describes practical criteria and a systematic process to aid the treatment planning decision of whether to preserve teeth by root canal treatment (RCT) or extract and provide an implant. This article reviews the benefits and disadvantages of both treatment options and discusses success vs. survival outcomes.

Clinical guideline and treatment planning decisions of single-tooth implants versus preserving natural teeth with nonsurgical endodontic therapy