Endodontic retreatment: Surgical or non-surgical approach?

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20 RCTs are included in this Cochrane review update of endodontic retreatment. The available evidence is of low quality so further research is needed to understand the effects of surgical versus non-surgical approaches, and to determine which surgical procedures provide the best results.

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Root canal retreatment: review suggests microsurgery better than retreatment

shutterstock_17046487- endodontic treatment

This new review of root canal retreatment indirectly compares the outcomes of two approaches, non-surgical retreatment and microsurgery. Only 4 of the studies were RCTs but these did not involve direct comparison of the two approaches. Pooled success rates suggest better outcomes for the microsurgical approach.

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Endodontic microsurgery or single tooth implants after failed root canal treatment

shutterstock_79298812-implant placement

This systematic review was looking to compare endodontic microsurgery with single implant placement. No studies directly comparing the two treatments were available. 44 studies of single implants and 6 studies of endodontic microsurgery found 2 -4 years survival rates for endodontic microsurgery were 94% and single implants 96%. The quality of the available evidence was moderate.

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