Title
Comparison of clinical outcomes following periapical surgery in endodontics versus extraction with implant placement
Authors
Arpita Anand1,*, Nitu Chaubey2, Jyoti Kumari1, Vinayak Singh3, Peeyush Kumar Chaudhary1 & Anmol Mehrotra4
Affiliation
1Department of Conservative Dentistry and Endodontics, Dental College Azamgarh, Azamgarh, Uttar Pradesh, India; 2Department of Conservative Dentistry and Endodontics, Purvanchal Institute of Dental Sciences, GIDA, Gorakhpur, Uttar Pradesh, India; 3Department of Conservative Dentistry and Endodontics, KD Dental College and Hospital, Mathura, Uttar Pradesh, India; 4Department of Conservative Dentistry and Endodontics, Institute of Dental Sciences, Bareilly, Uttar Pradesh, India; *Corresponding author
Arpita Anand - E-mail: drarpitaanandkamla@gmail.com
Nitu Chaubey - E-mail: drnituchaubey@gmail.com
Jyoti Kumari - E-mail: jyotigupta439@gmail.com
Vinayak Singh - E-mail: vinayaksingh827@gmail.com
Peeyush Kumar Chaudhary - E-mail: p.choudhary.bds@gmail.com
Anmol Mehrotra - E-mail: dranmolmehrotra@gmail.com
Article Type
Research Article
Date
Received April 1, 2026; Revised April 30, 2026; Accepted April 30, 2026, Published April 30, 2026
Abstract
Persistent periapical lesions challenge clinicians between periapical surgery and extraction-implant, yet long-term comparative outcomes remain limited. Hence, this retrospective cohort followed 166 patients (78 per group) for ≥24 months, comparing success rates, clinical/radiographic outcomes, satisfaction, cost and duration after failed endodontics. Periapical surgery achieved 89.7% success, compared with 92.3% for implants (p=0.571), with comparable survival, satisfaction and periapical healing; surgery excelled in shorter duration with lower cost. Both modalities yield reliable long-term results without significant differences in efficacy. Thus, patient and tooth-specific factors are needed over modality superiority in decision-making.
Keywords
Periapical surgery; apicoectomy; dental implants; clinical outcomes; endodontic treatment; tooth preservation
Citation
Anand et al. Bioinformation 22(4): 2179-2184 (2026)
Edited by
Vini Mehta
ISSN
0973-2063
Publisher
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.
