What are the success rates for root canal treatment?
A. If we have an accurate endodontic diagnosis, if subsequent treatment is properly performed, and if the tooth receives a well designed restoration that achieves a coronal seal, then success rates can potentially approach 100%. In fact, the only teeth that cannot be endodontically saved are teeth with radicular fractures, with hopeless periodontal disease or that are nonrestorable. Regrettably, most success and failure studies have been conducted over short timelines such as six months, one or two years. Unfortunately, there have been few studies that have been conducted over timeline horizons of say 10, 15 or 20 years. The good news is there is enormous potential for success. Better trained dentists, in conjunction with a general public who increasingly votes for endodontics as an alternative to the extraction, have synergistically led to the annual treatment of over 50 million cases in the United States alone. The bad news is even if we assume that 90% of all endodontics works, the
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