A comparative study of endodontic treatment versus surgical procedures in managing dental trauma and tooth avulsion

TL;DR

This study compares endodontic treatment and surgery for managing tooth avulsion, finding that surgery leads to better outcomes.

Contribution

Demonstrates that surgical replantation is more effective than endodontic treatment for tooth avulsion.

Findings

Surgical replantation showed higher survival rates and better clinical healing.

Pulp vitality declined more in the endodontic treatment group.

Surgical procedures resulted in lower pain levels and improved aesthetics.

Abstract

Dental trauma, particularly tooth avulsion, poses a significant challenge in both pediatric and adult dentistry. Effective management
of avulsed teeth is crucial for long-term dental health, as it impacts survival rates, pulp vitality, clinical healing, pain levels, and
aesthetic outcomes. Ninety patients were randomly assigned to receive either endodontic treatment or surgical replantation and their
outcomes were assessed over 12 months. Data showed that surgical replantation had higher survival rates, better clinical healing and
improved aesthetic satisfaction compared to endodontic treatment. Pulp vitality declined more in the endodontic group and pain levels
were significantly lower in the surgical group. Thus, we show that surgical replantation is generally more effective for managing
avulsed teeth, particularly when performed promptly.