Title

A comparative study of endodontic treatment versus surgical procedures in managing dental trauma and tooth avulsion

Authors

Sanjay Talnia^1,*, Rishabh Giri², Vertika Dubey³, Shiv Darshan Rao⁴, Jahnvi Sharma⁵ & Rishika Mohanty⁶

Affiliation

¹Department of Dentistry, Adesh Medical College and Hospital, Ambala, Haryana, India; ²Department of Dentistry, Chirayu Medical College, Bairagarh, Bhopal, Madhya Pradesh, India; ³Department of Dentistry, Birsa Munda Medical College, Shahdol, Madhya Pradesh, India; ⁴Department of Oral & Maxillofacial Surgery, Teerthanker Mahaveer Dental College & Research Centre, Moradabad, Uttar Pradesh, India; ⁵Department of Pediatric & Preventive Dentistry, Babu Banarsi Das Dental College, BBD University, Lucknow, Uttar Pradesh, India; ⁶Department of Conservative Dentistry & Endodontics, Institute of Dental Sciences, SOA University, Bhubaneswar, Odisha, India; *Corresponding author

Email

Sanjay Talnia - E-mail: drsanjaytalnia@gmail.com
Rishabh Giri - E-mail: giririshabh@gmail.com
Vertika Dubey - E-mail: vertikad19@gmail.com
Shiv Darshan Rao - E-mail: drshivdarshanrao@gmail.com
Jahnvi Sharma - E-mail: jahnvisharma17556@gmail.com
Rishika Mohanty - E-mail: drrishikamohanty12@gmail.com

Article Type

Research Article

Date

Received November 15, 2025; Revised December 15, 2025; Accepted December 15, 2025, Published December 15, 2025

Abstract

Dental trauma, particularly tooth avulsion, poses a significant challenge in both pediatric and adult dentistry. Effective management of avulsed teeth is crucial for long-term dental health, as it impacts survival rates, pulp vitality, clinical healing, pain levels, and aesthetic outcomes. Ninety patients were randomly assigned to receive either endodontic treatment or surgical replantation and their outcomes were assessed over 12 months. Data showed that surgical replantation had higher survival rates, better clinical healing and improved aesthetic satisfaction compared to endodontic treatment. Pulp vitality declined more in the endodontic group and pain levels were significantly lower in the surgical group. Thus, we show that surgical replantation is generally more effective for managing avulsed teeth, particularly when performed promptly.

Keywords

Clinical healing, endodontic treatment, pain scores, pulp vitality, surgical replantation

Citation

Talnia et al. Bioinformation 21(12): 4280-4284 (2025)

Edited by

Ritik Kashwani

ISSN

0973-2063

Publisher

Biomedical Informatics

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.