牙周穿孔对牙保留和治疗成本的影响:成本效益分析
Leander Benz1, Wadim Leontiev1,2, Falk Schwendicke1
1Department of Conservative Dentistry, Periodontology and Digital Dentistry, LMU Hospital, LMU, Munich, Germany.
International endodontic journal
|November 4, 2025
概括
根管治疗穿孔可以修复以保持更长时间的牙,尽管最初的成本可能更高. 在内治疗期间避免穿孔至关重要,以尽量减少长期治疗需求和费用.
科学领域:
- 牙周内科医院 牙周内科医院 牙周内科医院
- 牙科公共卫生 牙科公共卫生
- 卫生经济学 卫生经济学
背景情况:
- 根管治疗 (RCT) 穿孔是需要复杂的牙保留管理的并发症.
- 穿孔及其对牙存活率和成本的长期影响和管理尚未得到充分了解.
研究的目的:
- 评估管理内牙孔的成本效益与提取和植入物放置的成本效益.
- 为了比较不同治疗策略的长期牙保留和相关成本.
主要方法:
- 一个马尔科夫模型模拟了25岁患者的RCT穿孔的结局.
- 场景包括穿孔修复,用植入物放置的提取和没有穿孔 (控制).
- 费用是根据德国的2025年费用表 (BEMA,GOZ) 进行的,折扣率为3%.
主要成果:
- 没有穿孔导致52.9年保留在2000.78欧元.
- 穿孔修复提供49.4年的保留时间,价格为3485.94欧元.
- 提取/植入导致44.0年保留2813.46欧元,但修复最初更具成本效益.
结论:
- 穿孔修复可以提高牙保留时间,但附加成本很小,因年龄而异.
- 牙周内腔穿孔造成了大量的治疗费用,强调了预防的必要性.
- 在RCT期间避免穿孔可能会证明采取额外的预防措施是合理的.
更多相关视频
06:36Effects of Mechanical Methods Used in Peri-implantitis Treatment on Implant Surface Decontamination and Roughness
Published on: March 14, 2025
756
03:07Scanning Electron Microscopic Evaluation of Surface Defects of Remover Retreatment File After Single and Multiple Uses
Published on: October 11, 2024
902
相关概念视频
Esophageal Perforation-II: Clinical Manifestations and Management
487
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
487
Teeth
1.6K
The formation of teeth, also known as odontogenesis, is a complex process that begins in utero, around the sixth week of embryonic development. There are three stages to this process: the bud stage, the cap stage, and the bell stage.
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin...
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin...
1.6K
