Introduction: The aim of this review was to compare the differences between nonsurgical root canal treatment and single-tooth implants. With the emerging field of implant dentistry gaining acceptance, the choice to retain a diseased tooth through the use of root canal therapy or extract it and replace the tooth with an implant-supported crown has become controversial. Many practitioners consider the single-tooth implant as a reasonable alternative to the preservation of a diseased tooth.
Methods: An extensive search of the dental literature was accomplished to identify publications related to the differences in root canal therapy and dental implants. Several comparative studies were also considered.
Results: The treatment modalities were reviewed with respect to outcome measures and study design, success/failure, functional rehabilitation and psychological differences, complications related to treatment, cost differences, and factors influencing treatment planning considerations.
Conclusions: With the reviewed information in hand, the practitioner should be better prepared to determine which treatment option is most appropriate for each individual patient.