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Related Experiment Video

Updated: Oct 31, 2025

A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible

A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible

Published on: January 28, 2020

Post-retained Restorations: A Cost-minimization Analysis Nested in a Randomized Clinical Trial.

Alc Pires, V Poletto-Neto, L A Chisini

Operative Dentistry

|June 30, 2021

Summary

This summary is machine-generated.

For endodontically treated teeth, glass fiber posts with direct composite offer the lowest annual costs. This restorative strategy is more cost-effective than crowns or metal posts, despite some repairable fractures.

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Last Updated: Oct 31, 2025

A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible

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Published on: April 8, 2020

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Published on: December 20, 2024

Area of Science:

Dental Restorations
Endodontics
Health Economics

Background:

Post-retained restorations are crucial for endodontically treated teeth.
Evaluating the cost-effectiveness of different restorative strategies is essential for clinical decision-making.

Purpose of the Study:

To compare the cost-minimization of four post-retained restorative strategies for endodontically treated teeth.
To analyze initial and annual costs associated with different restorative materials and techniques.

Main Methods:

A cost-minimization analysis was conducted using data from a randomized clinical trial.
Four strategies were evaluated: glass fiber posts (with ferrule) vs. direct composite vs. crowns, and glass fiber or cast metal posts (without ferrule) with crowns.
Survival analysis and statistical tests (Kruskal-Wallis, Dunn's) were used to compare treatments over a 10-year period.

Main Results:

Glass fiber posts with direct composite had the lowest initial and mean annual costs (US$27.11).
Cast metal posts without crowns were the most expensive initially (US$153.14).
Higher extraction rates, and thus costs, were observed for glass fiber posts with crowns; however, composite restorations had significantly lower annual costs (p<0.001).

Conclusions:

Glass fiber posts combined with direct composite restorations represent the most cost-effective strategy for endodontically treated teeth.
This approach incurs significantly lower annual costs compared to alternatives involving crowns or metal posts.
Ferrule presence did not significantly influence annual costs in this analysis.