Secondary Treatment for Asymptomatic Root Canal Treated Teeth: A Cost-effectiveness Analysis

Journal of Endodontics
Falk Schwendicke, Michael Stolpe

Abstract

When faced with a clinically asymptomatic root canal treated tooth with certain radiographic findings (e.g., underextended or overextended root fillings or persistent periapical lesions), clinicians need to decide between endodontically retreating the tooth before restoration or not retreating it now but possibly later on. The present study compared the cost-effectiveness of both strategies. A Markov model was constructed following a root canal treated, clinically asymptomatic molar with one of the described radiographic findings in a 50-year-old patient during his lifetime. Hazard functions were derived from systematically and non-systematically assessed literature, and costs were estimated for German health care. Monte Carlo microsimulations were performed for teeth with composite restorations, crowns, or post-core crowns, and costs per year of tooth retention were calculated. Regardless of the radiographic findings, not performing immediate retreatment was found to be significantly less costly (589-954 Euro) and more effective (retention time, 25-29 years) than immediately performing secondary root canal treatment (1163-1359 Euro, 25-27 years). Both strategies had similar effectiveness only for teeth that received post-core ...Continue Reading

References

Jun 1, 1979·Scandinavian Journal of Dental Research·G BergenholtzB Engström
Oct 1, 1991·Endodontics & Dental Traumatology·K PeterssonA Wennberg
Oct 1, 1981·Journal of Endodontics·J W SmithD L Torney
Nov 1, 1994·International Endodontic Journal·T KvistC Andersson
May 5, 1998·Medical Decision Making : an International Journal of the Society for Medical Decision Making·A A Stinnett, J Mullahy
Apr 20, 2001·International Endodontic Journal·C A Murray, W P Saunders
Jun 13, 2002·International Endodontic Journal·T Kvist, C Reit
Nov 27, 2002·International Endodontic Journal·O MolvenD MacDonald-Jankowski
May 16, 2008·International Endodontic Journal·P J LumleyF J T Burke
Jan 10, 2009·International Endodontic Journal·Y-L NgK Gulabivala
Jul 2, 2009·Journal of Clinical Periodontology·Bernadette PretzlPeter Eickholz
Jul 2, 2009·Journal of Endodontics·Mahmoud TorabinejadShahrokh Shabahang
Feb 18, 2010·International Endodontic Journal·Y-L NgK Gulabivala
Apr 27, 2010·Journal of Endodontics·Robert Salehrabi, Ilan Rotstein
May 19, 2010·Journal of Endodontics·Thomas von ArxStorgård Jensen
Mar 30, 2013·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Don HusereauUNKNOWN ISPOR Health Economic Evaluation Publication Guidelines-CHEERS Good Reporting Practices Task Force
Sep 15, 2014·Journal of Endodontics·Falk Schwendicke, Michael Stolpe
Sep 27, 2014·Journal of Clinical Periodontology·Falk SchwendickeChristof Edmund Dörfer

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