Background: Orthodontic treatments aim to improve the alignment of teeth, but post-treatment restorative procedures
may be necessary for damaged or missing teeth. The type of restoration—conventional prostheses or implant-supported
prostheses-may influence the long-term health of endodontically treated teeth. This study compares the endodontic
health of orthodontically treated teeth restored with conventional prostheses versus implant-supported prostheses.
Objectives:To evaluate and compare the impact of conventional prostheses and implant-supported prostheses on the
endodontic health of orthodontically treated teeth, focusing on pulp vitality, bone density, periodontal health, and
patient satisfaction.
Materials and Methods: A total of 86 participants who had previously undergone orthodontic treatment were
randomly assigned to two groups: conventional prostheses (n=43) and implant-supported prostheses (n=43). Data
were collected at baseline, 6 months, 1 year, and 2 years post-restoration, including pulp vitality testing, radiographic
imaging for bone density, clinical periodontal evaluation, and patient-reported satisfaction.
Results: Results indicated that implant-supported prostheses exhibited better pulp vitality and bone density
preservation compared to conventional prostheses. Soft tissue health, as measured by gingival inflammation, was also
better in the implant-supported group. Patients with implant-supported prostheses reported higher satisfaction with
appearance, comfort, and overall restoration function.
Conclusion: Implant-supported prostheses generally offer superior outcomes in terms of endodontic health, bone
preservation, and patient satisfaction when compared to conventional prostheses. However, the choice of restoration
should be based on individual patient factors, including oral hygiene, systemic health, and personal preferences.
Further long-term studies are needed to confirm these findings.
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