{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:44:13Z","timestamp":1787071453541,"version":"build-2736575974"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 4","license":[{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The long-term prognosis of natural teeth and dental implants has been a critical subject in restorative dentistry. While dental implants offer a predictable solution for missing teeth, preserving natural dentition is often preferred when feasible.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      A total of 200 participants aged between 25 and 65 years were enrolled in this prospective\n                      <jats:italic toggle=\"yes\">in vivo<\/jats:italic>\n                      study, conducted from January 2014 to January 2024. Group A consisted of 100 patients with endodontically treated and periodontally maintained natural teeth, while Group B included 100 patients rehabilitated with single dental implants. Survival was defined as the functional presence of the tooth\/implant without the need for extraction or removal. Patients were evaluated annually for mobility, bone loss, peri-implantitis, or secondary caries using clinical and radiographic criteria. Statistical analysis was conducted using the Kaplan\u2013Meier survival estimate and Chi-square test with significance set at\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      After a 10-year follow-up, the overall survival rate was 88% for preserved natural teeth and 92% for dental implants. Group A showed failures primarily due to vertical root fractures and recurrent periodontal infections, while Group B experienced failures due to peri-implantitis and biomechanical overload. The difference in survival was not statistically significant (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.172), indicating comparable long-term outcomes between both interventions.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Tooth preservation and dental implants demonstrated similar long-term survival rates in this study. Preserving natural dentition remains a viable and effective option when clinical conditions permit, with dental implants serving as a reliable alternative when tooth retention is unfeasible.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jpbs.jpbs_1231_25","type":"journal-article","created":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T08:00:14Z","timestamp":1766044814000},"page":"S3159-S3161","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Comparison Between the Long-Term Survival Rates of Tooth Preservation and Dental Implants: An In Vivo Study"],"prefix":"10.4103","volume":"17","author":[{"given":"Rupali Baban","family":"Wetam","sequence":"first","affiliation":[{"name":"Department of Conservative Dentistry and Endodontics, Bharati Vidyapeeth (Deemed to be University), Dental College and Hospital, Sangli, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chirag R.","family":"Vaniya","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics and Crown & Bridge, Government Dental College and Hospital, Jamnagar, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Snigdha","family":"Biswas","sequence":"additional","affiliation":[{"name":"Department of Periodontology and Implantology, BBD College of Dental Sciences, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Palapati","family":"Chamanthi","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics and Crown and Bridge, CKS Teja Institute of Dental Sciences, Andhra Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gatha","family":"Mohanty","sequence":"additional","affiliation":[{"name":"Department of Periodontics and Oral Implantology, Institute of Dental Science, Siksha \u2018O\u2019 Anusandhan deemed to be University, Bhubaneswar, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priyatam","family":"Karade","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Endodontics, Bharati Vidyapeeth (Deemed to be University), Dental College and Hospital, Sangli, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sajni","family":"Rai","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics and Crown and Bridge, AB Shetty Memorial Institute of Dental Sciences, (Nitte Deemed to be University), Mangaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,12,17]]},"reference":[{"key":"R1-20251218","doi-asserted-by":"crossref","first-page":"142","DOI":"10.3390\/jfb14030142","article-title":"Comparing the long-term success rates of tooth preservation and dental implants: A critical review","volume":"14","author":"Sartoretto","year":"2023","journal-title":"J Funct Biomater"},{"key":"R2-20251218","doi-asserted-by":"crossref","first-page":"e152","DOI":"10.1902\/jop.2013.130415","article-title":"Crestal bone changes at teeth and implants in periodontally healthy and periodontally compromised patients: A 10-year comparative case-series study","volume":"85","author":"Rasperini","year":"2014","journal-title":"J Periodontol"},{"key":"R3-20251218","first-page":"423","article-title":"Endodontic retreatment versus dental implants of teeth with an uncertain endodontic prognosis: 3-year results from a randomised controlled trial","volume":"11","author":"Esposito","year":"2018","journal-title":"Eur J Oral Implantol"},{"key":"R4-20251218","doi-asserted-by":"crossref","first-page":"1119","DOI":"10.14219\/jada.archive.2013.0030","article-title":"Tooth preservation or implant placement: A systematic review of long-term tooth and implant survival rates","volume":"144","author":"Levin","year":"2013","journal-title":"J Am Dent Assoc"},{"issue":"12 Suppl","key":"R5-20251218","doi-asserted-by":"crossref","first-page":"S57","DOI":"10.1016\/j.joen.2019.05.014","article-title":"In the dental implant era, why do we still bother saving teeth?","volume":"45","author":"Clark","year":"2019","journal-title":"J Endod"},{"key":"R6-20251218","first-page":"76","article-title":"The cost-effectiveness of tooth preservation vs implant placement in severe periodontal disease patients: A systematic review","volume":"55","author":"Nagpal","year":"2024","journal-title":"Quintessence Int"},{"key":"R7-20251218","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1111\/edt.12492","article-title":"In the dental implant era, why do we still bother saving teeth?","volume":"35","author":"Clark","year":"2019","journal-title":"Dent Traumatol"},{"key":"R8-20251218","doi-asserted-by":"crossref","first-page":"e87","DOI":"10.1111\/jopr.13560","article-title":"Tooth preservation vs extraction and implant placement in periodontally compromised patients: A systematic review and analysis of studies","volume":"31","author":"Sarafidou","year":"2022","journal-title":"J Prosthodont"}],"container-title":["Journal of Pharmacy and Bioallied Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jpbs.jpbs_1231_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:46:20Z","timestamp":1787067980000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jpbs.jpbs_1231_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12]]},"references-count":8,"journal-issue":{"issue":"Suppl 4","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jpbs.jpbs_1231_25","relation":{},"ISSN":["0976-4879","0975-7406"],"issn-type":[{"value":"0976-4879","type":"print"},{"value":"0975-7406","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12]]},"assertion":[{"value":"2025-07-14","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-10","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}