Journal of Endodontics Highlights: December 2017 — February 2018

By Nicole A. Shinbori, D.D.S.

The Journal of Endodontics is a wealth of research and information about endodontics. In the December 2017 – August 2018 issues of The Paper Point, a member of the RNP Committee will dig into three articles from the most recent JOE to provide their own synopsis.

December 2017: “A Systematic Review of the Survival of Teeth Intentionally Replanted with a Modern Technique and Cost-effectiveness Compared with Single-tooth implants.” Anshul A. Mainkar.

This review article investigated the survival rate of teeth intentionally replanted with a modern technique and to compare their cost-effectiveness with that of a single-tooth implant. Intentional replantation is often overlooked as a treatment option but it is cost-effective and it allows the patients to retain their teeth. If nonsurgical and surgical retreatments are not an option, intentional replantation should be discussed as an option with patients. Although the survival rate of implants is higher, intentional replantation is more cost-effective (mean fee alone: $944.93), and an implant (cheapest implant fee: $4,330.21) can always be placed if the replantation is unsuccessful. Read Full Article

January 2018: “Intentional Replantation Techniques: A Critical Review.” Bradley D. Becker.

This review article discusses intentional replantation and provides a critical review of the reported and suggested techniques, highlighting differences and similarities. There is no universally accepted clinical protocol for this procedure. Intentional replantation has commonly been viewed as a last resort option, but recent studies have shown more consistent success rates as high as 88% to 95%. Incorporating modern endodontic surgical techniques may improve the survival rates of intentionally replanted teeth.  Read Full Article

February 2018: “Survival Rates of Teeth with Primary Endodontic Treatment after Core/Post and Crown Placement.” Kandace M. Yee, Pradeep Bhagavatula, Sheila E. Stover, Frederick Eichmiller, Lance Hashimoto, Scott A. MacDonald, and Gordon L. Barkley, III.

The authors of this study wanted to determine if delayed placement of the core/post and crown had an affect on the outcomes of nonsurgical root canal treatment. The data was obtained from the electronic insurance claims database of Delta Dental of Wisconsin. Survival rates were greater when the NSRCT was completed by an endodontist versus other providers.  This study shows that the long-term survival rates of NSRCTs are adversely affected when the placement of the final post/core as well as the full coverage crown are delayed by more than 60 days.  Read Full Article