Is implant better or nerve removal? Comparing the amount of pain, durability

Is it better to draw or implant? href="#heading_%d9%85%d9%82%d8%a7%db%8c%d8%b3%d9%87-%d8%a7%db%8c%d9%85%d9%be%d9%84%d9%86%d8%aa-%d9%88-%d8%b9%d8 Compare In terms of durabilityduration Treatmentdental implant is considered a logical and durable choice. The implant fills the place of the missing tooth, has a very natural appearance, and also prevents jawbone degeneration.

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Dental implants and root canal therapy are the two main methods in dentistry to preserve or replace damaged teeth. Nowadays, many people end up needing one of these two treatments due to not observing oral and dental hygiene.

When tooth decay or damage is severe and it is not possible to repair with methods such as filling, nerve extraction treatment is performed to preserve the natural tooth. However, some patients prefer to have their teeth pulled because of the length of the treatment or the cost. In the future, this decision usually causes them to need a dental implant (fixed artificial tooth), which costs more and takes more time.

Criteria Nerve removal (root treatment) Dental implant Success / Survival Rate 85% to 92% (if repaired correctly) 95% to 98% (under ideal conditions) Duration of shelf life Usually 10 to 15 years (sometimes more) More than 20 years (if properly maintained) Common side effects Re-infection, repair failure, root fracture Peri-implantitis (inflammation around the implant), bone loss Treatment time Usually 1 to 2 sessions (with repair or coating) How many months (surgery + welding of the implant + coating) Cost Cheaper than implants more expensive (especially in Iran several times the cost of nerve removal) Preservation of natural teeth The original tooth of the patient is preserved The missing tooth is replaced (the natural tooth is removed). Depending on conditions It is necessary to leave a sufficient part of the root and crown Requires adequate jaw bone and good general health Patient satisfaction High satisfaction if the tooth remains healthy High satisfaction due to the beauty and strength similar to natural teeth

Nervectomy is better or implant

Nerve removal and implant are two important treatment methods in dentistry, the choice between them depends on the extent of tooth damage. Nerve removal is done when the tooth pulp is infected but the overall structure of the tooth is still healthy. This procedure is done to prevent the spread of infection and is usually faster, less expensive, and does not require surgery. But if the tooth is completely destroyed or cannot be restored, the implant is the best option to replace the lost tooth. In this method, a metal base is placed in the jaw bone and then the dental cover is installed on it. The end result is very natural looking, durable, and functional like a real tooth, although it costs more. In general, if the tooth can be restored, nervectomy is a more appropriate choice; But in case of severe damage or tooth loss, implant will be a more permanent and aesthetic option.

What is neurosurgery and when is it necessary?

Nerve removal or root treatment is performed when decay or infection has reached the inner part of the tooth and its nerve; In this method, the damaged nerve is removed, the canal is disinfected and then filled so that the tooth remains in the mouth.

What is a dental implant and when is it used?

Dental implant is used when the tooth is completely irreparable or missing; In this case, a metal base is implanted in the jaw bone and after welding with the bone, a dental crown is installed on it.

Comparison of implant and denervation in terms of durability

Denervated teeth can function for years if oral hygiene is followed and proper restoration is performed; However, these teeth are more fragile than natural teeth and there is a possibility of breakage or re-infection in them.

Compared to debridement, the implant is more durable and if properly cared for, it can be used for decades and even until the end of life. This feature is one of the main reasons for choosing an implant in cases where it is not possible to save the tooth.

Read more: Price Covered implant

Dental implant cost versus denervation

The cost of both dental implant implantation and denervation treatment in Iran is very different and is determined based on several factors. In the following, we will determine the cost of dental implants and the cost of denervation in different conditions:

Treatment type Approximately common cost range (tomans) Descriptions / Tips Nerve extraction treatment (one tooth) 2,500,000 to 6,500,000 The cost depends on the number of canals (1 to 3 or more), the specialty of the dentist and the location of the tooth Implant placement (one unit) 6,000,000 to about 30,000,000 and sometimes more Some centers offer a good implant for about 15 million tomans Implantation (an advanced unit / top brand) 15,000,000 to 37,000,000 The brand, implant technique, need for bone graft or sinus lift have a big impact Full implant implantation of the upper or lower jaw 120,000,000 to 200,000,000 or more When multiple teeth are replaced, the overall cost will be much higher

Note: These numbers are approximate and may vary significantly in each city, clinic, implant brand, jawbone condition and doctor's skill.

Factors affecting the price of dental implants:

1. Implant brand (Iranian, Korean, Swiss, German, etc.)
2. The quality of the implant coating (ceramic, zirconia, etc.)
3. The need for additional treatments such as bone grafting, sinus lift, gum surgery, etc.
4. Salary of the implant specialist and geographic location of the clinic (Tehran and big cities are usually higher)

Read more: The denervated tooth should be covered

Factors affecting the price of denervation treatment:

1. Number of root channels (one channel to three or four channels)
2. Tooth position (front or back teeth)
3. The extent of infection or injury and the need for retreatment
4. Dentist expertise and clinic equipment

Advantages and disadvantages of implants compared to denervation

Both methods of denervation treatment and dental implant implantation have advantages and disadvantages compared to each other, which we will introduce below:

1. Advantages and disadvantages of implant

Advantages:

1. Natural appearance: In terms of shape and color, the implant is similar to the original tooth.
2. High Durability: With proper care, it can last a lifetime.
3. Prevention of bone loss: Tooth loss causes bone loss, but implants prevent this process.
4. High stability: The implant is fixed inside the bone and does not move.
5. Easy care: It can be cleaned like a natural tooth with a toothbrush and dental floss.

Read more: Price How much is an immediate implant

Disadvantages:

1. High cost: It is much more expensive than denervation.
2. Length of treatment: Treatment stages last from several months to half a year.
3. The need for proper bone and gum conditions: In case of bone loss, bone grafting or additional treatment is necessary.
4. Lack of full insurance coverage: Most insurances do not support implants.
5. Risk of complications: In patients who smoke, have diabetes or have a weak immune system, the probability of implant failure is higher.

2. Advantages and disadvantages of denervation

Advantages:

1. Preservation of natural teeth: The original tooth remains in the mouth and does not need to be replaced.
2. Lower cost: Nerve removal is significantly cheaper than implants.
3. Shorter treatment duration: It is usually done in one or two sessions.
4. Insurance coverage: Most dental insurances will pay a portion of the cost of nerve extraction.

Disadvantages:

1. Tooth fragility: A denervated tooth is weaker than a normal tooth and usually needs a veneer.
2. Possibility of re-infection: If the canals are not thoroughly disinfected, re-infection may occur.
3. Less durable than implants: The life of denervated teeth is limited and there is a possibility of losing them over time.

Read more:

Comparison of the amount of pain of each method

In both methods (nerve removal and implant), local anesthesia is used, so during the treatment process, the patient will not feel any pain; Of course, it should be noted that after the anesthesia wears off, a little pain and discomfort at the surgery site is normal and there is nothing to worry about:

• Nervectomy is usually associated with less and more temporary pain than implants; Of course, it may cause a little sensitivity and discomfort around the tooth, especially if the root canal treatment is complicated or there is an infection.
• Due to the surgery, the implant will cause more pain and discomfort in the early days; In the method of implant implantation, usually swelling, bruising, and a feeling of tension or pressure in the surgical area are more common factors.

Based on the direct comparison between these two methods, the patients' opinion about the pain level of each method was almost the same in the first week; Although the implant may require more care and painkillers in the early days due to surgery.

An important factor in reducing pain is the experience and skill of the doctor, the techniques used, compliance with sterile conditions, the use of appropriate materials, and pain control methods after treatment.

Comparison of treatment duration

Nervation:

Depending on the complexity of the case and the number of channels, it is usually done in one or two sessions.

If it needs repair or resurfacing, a separate session may be scheduled to prepare and install the resurfacing.

Therefore, the whole process (nerve removal + coating) may take from a few days to a week or two (depending on the conditions of the clinic and the patient's access).

Read more: The best implant specialist in Pasdaran

Implant:

The implant process includes several steps: firstly, gum and bone preparation (if needed), implantation of the implant base, waiting period for the base to fuse with the bone (osseointegration), then placing the final crown.

• The waiting period for implant fusion is a few months (in most cases between 3 and 6 months or more), the exact duration of which depends on the quality of the jaw bone density and the health of the patient.
• If the patient needs bone graft or sinus lift, the treatment time will be longer.
• Also, the installation of dental veneer after the implant base has been stabilized, requires separate sessions.

Final comparison of implant and denervation

In general, if we want to give a simple comparison:

• Nervelation is faster and will result in less pain in the long term, but under certain conditions it may require more treatments or re-repair.
• In terms of treatment duration, the implant is longer and causes more initial pain, but if all the steps are done correctly, it will have a more stable result.

Approximate statistics of patients' need for implants or denervation in Iran

Index Reported / estimated value Source / Explanation The number of people who need implants annually About 200,000 people It has been reported that in Iran, about 200,000 patients need implants every year.

Tasnim News

The number of implants used in the country annually About 1,000,000 pieces According to a statistic, about 1 million implants are used in the country every year.

Tasnim News

Root canal treatment success rate about 96% One study reported that the success rate of root canal treatment when the crown is preserved is approximately 96%.

JMDS

The number of endodontists in Iran About 1,000 root canal specialists It has been announced that our country is active in this field with a thousand dentists specializing in root canal treatment.

IRNA+1

Which option is better for you? Implant or denervation?

Choosing between these two methods depends on the condition of the teeth. If your tooth still has enough structure to repair, denervation is the best choice; But if the tooth is severely damaged or irreparable, the implant will be a stable and reliable solution. Expert consultation with a dentist can determine the best option for you.

Of course, the first advice of doctors to all patients is to avoid pulling and implanting dental implants as much as possible, and if possible, patients should definitely use denervation treatment, because no implant can be compared to a natural tooth.

Conclusion

The answer to the question "Is implant better or nerve removal?" depends on the state of the teeth and the individual conditions of the patient; If the tooth is still repairable and its structure is preserved, nerve extraction treatment is a more logical and conservative option. If the tooth is irreparable or there is a severe fracture and infection, extraction and dental implant placement will be a safer and more durable choice.

Finally, it will be possible to determine the best treatment method only after a detailed examination by a specialist dentist and examination of the conditions of the jaw bone, gum health and the patient's budget.

Approved by:

Dr. Shaghaig Parvizi

Dental clinic Amytis

Amitis Dental Clinic, managed by Dr. Mohammad Parsa and specialized in cosmetic, restorative and implant treatments for more than 15 years, is one of the reputable dental clinics with modern equipment and experienced team in Tehran. This center has provided more than 10,000 successful services to patients, and Amitis Dentistry, in addition to treating domestic patients, has also treated international and foreign patients.

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