Dr. Scott Doyle received his B.S. from the University of Wisconsin-Madison in 1995 and his D.D.S. from the University of Minnesota in 1999. He served in the United States Air Force for 7 years, including an Advanced Education in General Dentistry residency. Dr. Doyle obtained both his M.S. and Certificate in Endodontics from the University of Minnesota in 2004. He currently practices with Metropolitan Endodontics and serves as an Associate Clinical Professor for the Division of Endodontics at the University of Minnesota. Dr. Doyle is a Diplomate of the American Board of Endodontics. He is a Past President of the Minnesota Association of Endodontists, Chair of the AAE Continuing Education Committee, and serves as a reviewer for the Journal of Endodontics. Dr. Doyle has authored multiple articles in scientific journals, as well as a chapter on the “Endodontic Applications of CBCT” in an upcoming textbook.
Treatment Planning: Endodontics and Implants
Helping patients maintain their dentition is the fundamental goal of dentistry. A wide range of endodontic procedures result in a high level of tooth retention and patient satisfaction. Large-scale studies provide strong support that the restored endodontically treated tooth offers a highly predictable, long-term way of preserving nature’s “implant”—a tooth with an intact periodontal ligament. Thus, excellent endodontic treatment followed by an immediate restoration of equal quality promises to give patients service and function while maintaining their esthetics for years. The results of multiple studies indicate that the high survival rates for the natural tooth are similar to those reported for the restored single-tooth implant. Therefore, clinicians must consider additional factors when making treatment planning decisions, all of which must be in the best interest of the patient. Endodontic treatment and implant therapy should not be viewed as competing alternatives, rather as complementary treatment options for the appropriate patient situation.
- Describe the reported survival rates of initial nonsurgical root canal treatment, retreatment and microsurgery. Compare these rates to those reported for single-tooth implants.
- List factors that influence the decision-making process when treatment planning for endodontic treatment and single-tooth implants.
- Discuss how CBCT imaging can serve as a valuable adjunct for diagnosis and treatment planning.
- Review potential complications associated with each treatment modality.
- Discuss the importance of interdisciplinary consultation between general dentists and specialists.