EdenteV2, Istex, Corpus, bibRecord, 001C31

Evaluation of the cost‐effectiveness of root canal treatment using conventional approaches versus replacement with an implant

Identifieur interne : 001C31 ( Istex/Corpus ); précédent : 001C30; suivant : 001C32

Evaluation of the cost‐effectiveness of root canal treatment using conventional approaches versus replacement with an implant

Auteurs : M. W. Pennington ; C. R. Vernazza ; P. Shackley ; N. T. Armstrong ; J. M. Whitworth ; J. G. Steele

Source :

International Endodontic Journal [ 0143-2885 ] ; 2009-10.

RBID : ISTEX:39D09B572C9F21BCEF2BF9239FD87C3ED91A7AB3

English descriptors

Abstract

Aim To evaluate the cost‐effectiveness of root canal treatment for a maxillary incisor tooth with a pulp infection, in comparison with extraction and replacement with a bridge, denture or implant supported restoration.

Url:

https://api.istex.fr/document/39D09B572C9F21BCEF2BF9239FD87C3ED91A7AB3/fulltext/pdf

DOI: 10.1111/j.1365-2591.2009.01582.x

Links to Exploration step

ISTEX:39D09B572C9F21BCEF2BF9239FD87C3ED91A7AB3

Le document en format XML

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<author xml:id="author-0000"><persName><forename type="first">M. W.</forename>
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<profileDesc><abstract xml:lang="en" style="main"><head>Abstract</head>
<p><hi rend="bold">Aim </hi>
 To evaluate the cost‐effectiveness of root canal treatment for a maxillary incisor tooth with a pulp infection, in comparison with extraction and replacement with a bridge, denture or implant supported restoration.</p>
<p><hi rend="bold">Methodology </hi>
 A Markov model was built to simulate the lifetime path of restorations placed on the maxillary incisor following the initial treatment decision. It was assumed that the goal of treatment was the preservation of a fixed platform support for a crown without involving the adjacent teeth. Consequently, the model estimates the lifetime costs and the total longevity of tooth <hi rend="italic">and</hi>
 implant supported crowns at the maxillary incisor site. The model considers the initial treatment decisions, and the various subsequent treatment decisions that might be taken if initial restorations fail.</p>
<p><hi rend="bold">Results </hi>
 Root canal treatment extended the life of the tooth at an additional cost of £5–8 per year of tooth life. Provision of orthograde re‐treatment, if the root canal treatment fails returns further extension of the expected life of the tooth at a cost of £12–15 per year. Surgical re‐treatment is not cost‐effective; it is cheaper, per year, to extend the life of the crown by replacement with a single implant restoration if orthograde endodontic treatment fails.</p>
<p><hi rend="bold">Conclusion </hi>
 Modelling the available clinical and cost data indicates that, root canal treatment is highly cost‐effective as a first line intervention. Orthograde re‐treatment is also cost‐effective, if a root treatment subsequently fails, but surgical re‐treatment is not. Implants may have a role as a third line intervention if re‐treatment fails.</p>
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<correspondenceTo>Mark W. Pennington, MSc, PhD, Research Associate, Institute of Health and Society, Newcastle University, 21 Claremont Place, Newcastle upon Tyne NE2 4AA, UK (Tel.: +44 191 222 3544; fax: +44 191 222 6043; e‐mail: <email>mark.pennington@ncl.ac.uk</email>
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<supportingInformation><p><b>Appendix S1.</b>
 Model Structure</p>
<p>Please note: Wiley‐Blackwell are not responsible for the content or functionality of any supporting materials supplied by the authors. Any queries (other than missing material) should be directed to the corresponding author for the article.</p>
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          Pennington MW, Vernazza CR, Shackley P, Armstrong NT, Whitworth JM, Steele JG. Evaluation of the cost-effectiveness of root canal treatment using conventional approaches versus replacement with an implant. International Endodontic Journal, 42, 874–883, 2009.
--><title type="main">Abstract</title>
<p><b>Aim </b>
 To evaluate the cost‐effectiveness of root canal treatment for a maxillary incisor tooth with a pulp infection, in comparison with extraction and replacement with a bridge, denture or implant supported restoration.</p>
<p><b>Methodology </b>
 A Markov model was built to simulate the lifetime path of restorations placed on the maxillary incisor following the initial treatment decision. It was assumed that the goal of treatment was the preservation of a fixed platform support for a crown without involving the adjacent teeth. Consequently, the model estimates the lifetime costs and the total longevity of tooth <i>and</i>
 implant supported crowns at the maxillary incisor site. The model considers the initial treatment decisions, and the various subsequent treatment decisions that might be taken if initial restorations fail.</p>
<p><b>Results </b>
 Root canal treatment extended the life of the tooth at an additional cost of £5–8 per year of tooth life. Provision of orthograde re‐treatment, if the root canal treatment fails returns further extension of the expected life of the tooth at a cost of £12–15 per year. Surgical re‐treatment is not cost‐effective; it is cheaper, per year, to extend the life of the crown by replacement with a single implant restoration if orthograde endodontic treatment fails.</p>
<p><b>Conclusion </b>
 Modelling the available clinical and cost data indicates that, root canal treatment is highly cost‐effective as a first line intervention. Orthograde re‐treatment is also cost‐effective, if a root treatment subsequently fails, but surgical re‐treatment is not. Implants may have a role as a third line intervention if re‐treatment fails.</p>
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<abstract>Aim  To evaluate the cost‐effectiveness of root canal treatment for a maxillary incisor tooth with a pulp infection, in comparison with extraction and replacement with a bridge, denture or implant supported restoration.</abstract>
<abstract>Methodology  A Markov model was built to simulate the lifetime path of restorations placed on the maxillary incisor following the initial treatment decision. It was assumed that the goal of treatment was the preservation of a fixed platform support for a crown without involving the adjacent teeth. Consequently, the model estimates the lifetime costs and the total longevity of tooth and implant supported crowns at the maxillary incisor site. The model considers the initial treatment decisions, and the various subsequent treatment decisions that might be taken if initial restorations fail.</abstract>
<abstract>Results  Root canal treatment extended the life of the tooth at an additional cost of £5–8 per year of tooth life. Provision of orthograde re‐treatment, if the root canal treatment fails returns further extension of the expected life of the tooth at a cost of £12–15 per year. Surgical re‐treatment is not cost‐effective; it is cheaper, per year, to extend the life of the crown by replacement with a single implant restoration if orthograde endodontic treatment fails.</abstract>
<abstract>Conclusion  Modelling the available clinical and cost data indicates that, root canal treatment is highly cost‐effective as a first line intervention. Orthograde re‐treatment is also cost‐effective, if a root treatment subsequently fails, but surgical re‐treatment is not. Implants may have a role as a third line intervention if re‐treatment fails.</abstract>
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<note type="content"> Appendix S1. Model Structure Please note: Wiley‐Blackwell are not responsible for the content or functionality of any supporting materials supplied by the authors. Any queries (other than missing material) should be directed to the corresponding author for the article. Appendix S1. Model Structure Please note: Wiley‐Blackwell are not responsible for the content or functionality of any supporting materials supplied by the authors. Any queries (other than missing material) should be directed to the corresponding author for the article.Supporting Info Item: Supporting info item - </note>
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Evaluation of the cost‐effectiveness of root canal treatment using conventional approaches versus replacement with an implant

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