Decision-Making for the Compromised Tooth: Retain or Replace?

5 (2 votes)

CE Hours: 2 


Helping patients maintain their dentition is a fundamental goal of dentistry. A wide range of endodontic procedures result in a high level of tooth retention and patient satisfaction. The results of multiple studies indicate that 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 decisions for the compromised tooth, all of which must be in the best interest of the patient. Patient-centered outcomes including potential complications of each option will be discussed. The information provided in this presentation should be useful for endodontists in their communication with patients and colleagues when discussing retention of the natural dentition and the replacement of missing teeth.

At the conclusion, participants should be able to:

  • 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.
  • Review potential complications associated with each treatment modality.


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7 Questions
5 Questions  |  Unlimited attempts  |  4/5 points to pass
5 Questions  |  Unlimited attempts  |  4/5 points to pass
Verification Letter
2.00 CE credits  |  Certificate available
2.00 CE credits  |  Certificate available

Scott L. Doyle, D.D.S., M.S.

Dr. Doyle received his Bachelor of Science from the University of Wisconsin-Madison in 1995 and his Doctor of Dental Surgery from the University of Minnesota in 1999. After graduation from dental school, Dr. Doyle served in the United States Air Force for seven years. His first assignment was at Eglin AFB, Florida, where he completed an Advanced Education in General Dentistry residency. Dr. Doyle practiced as a general dentist for two years at Altus AFB, Oklahoma, prior to his acceptance into an endodontic residency. Dr. Doyle obtained both his Master of Science and Certificate in Endodontics from the University of Minnesota in 2004. His research focused on the comparison of outcomes for root canal treatment and dental implants. The results led to multiple publications in the Journal of Endodontics and Compendium, as well as serving as the foundation for ongoing studies. Dr. Doyle then served for two years as Chief of Endodontics at Langley AFB, Virginia. During this time, he shared his clinical and academic expertise with seven dental residents each year. In 2005, he was named the Air Force Air Combat Command Junior Dental Officer of the Year. 

Dr. Doyle is a Diplomate of the American Board of Endodontics, attaining board certification in 2011. He currently serves as an Associate Clinical Professor for the Division of Endodontics at the University of Minnesota. Dr. Doyle also serves as a Delegate for the Minnesota Dental Association, as a reviewer for the Scientific Advisory Board of the Journal of Endodontics, and as a member of the St. Paul District Dental Society Executive Council.

Scott L.. Doyle, D.D.S., M.S.

I declare that I have NO past or present proprietary or relevant financial relationship or receive gifts in kind (including soft intangible remuneration), consulting position or affiliation, or other personal interest of any nature or kind in any product, service, course and/or company, or in any firm beneficially associated therewith.