Integrated Endodontic and Implantology Strategies in Oral Rehabilitation for Compromised Dentition
European Journal of Prosthodontics and Restorative Dentistry (2026) 34(2S),149–158
Keywordscompromised dentition, endodontic retreatment, dental implants, oral rehabilitation, interdisciplinary treatment planning
AuthorsAbstractDentition compromised dentition provides a complicated restorative challenge whereby biological preservation, structural prognosis and functional rehabilitation need to be closely balanced. This review examines the integration of endodontic and implantology strategies in the management of compromised teeth, emphasizing that contemporary oral rehabilitation should be guided by individualized, evidence-based decision-making rather than by a preference for extraction or replacement alone. Key biological and biomechanical principles underlying periapical healing, osseo integration,bone remodeling, and load distribution are considered alongside current advances in endodontic retreatment, irrigation, regenerative procedures, bioactive materials, digital implant workflows, and tissue augmentation. The review also addresses the factors influencing treatment selection, including restorability, periodontal support, structural integrity, and long-term maintenance. Comparative evidence indicates that both endodontically treated teeth and implant-supported prostheses can provide favorable survival and patient-reported outcomes when applied in appropriate clinical contexts. Interdisciplinary treatment planning involving endodontic, periodontal, prosthodontic, and surgical perspectives emerges as central to optimizing results in complex cases. New changes in the fields of artificial intelligence, regenerative biomaterials, and precision dentistry are bound to further enhance clinical judgment and increase treatment options. Implantology and endodontics must be seen as complementary processes to a single rehabilitative system of the dentition compromised. 1. Introduction The dentition compromised is an emerging health issue affecting the world, and this has been mostly predetermined by the rising rate of periodontal diseases and their consequences, such as loss of teeth and functional impairment. Modern epidemiological evidence demonstrates that the sociodemographic burden of periodontal diseases in different populations and geographical locations has been significant and continues to be high, which is a product not only of demographic changes but also disparities in access to prophylactic and therapeutic oral care services [1]. This is exacerbated by socioeconomic inequalities, behavioral risk factors, and the reciprocity between periodontal disease and systemic diseases (diabetes and cardiovascular disorders), which have confirmed periodontal pathology as a significant cause of oral morbidity and diminished quality of life worldwide [2]. Simultaneously, demographic change of the population towards the ageing group has monstrously altered the clinical presentation of dental patients. The elderly patients usually possess multifaceted oral health conditions with severely restored periodontium, deteriorated structural support, reduced periodontal support and more endodontically restored teeth. All these are leading to the fact that the treatment planning becomes quite complicated and needs practical, personal, and multidisciplinary approaches to care. This has resulted in a more holistic, procedure-based approach to oral reconstruction that aims at maximizing the functionality, esthetics and prognosis of the long term and is in compliance with the consideration and anticipations of the body at large [3].•••••••••••••••••••••••••••••••• ejprd.org- Published by Riset Publishing Services LLC.
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