Long-term costs of post-restorations: 7-year practice-based results from Germany

Abstract

Objectives We evaluated the initial and follow-up treatment costs of different post-restorations in a practice-based German healthcare setting. Methods A total of 139 incisors, canines, or premolars received post-restorations placed by eight general dental practitioners in Germany, and were followed over a mean ± SD 7.1 ± 4.5 years. Preformed metal (MP, n = 68), glass-fiber (GF, n = 28), or cast post-and-core buildups (MC, n = 23) had been used to retain crowns or bridge anchors. Preformed metal and glass-fiber had also been used to retain directly built up post-retained composite restorations (PC, n = 20). Material and treatment costs for the initial post-restorations as well as restorative, endodontic, or surgical re-treatments were estimated from a public-payer-perspective in Germany. Associations between total and annualized total costs and covariates were assessed using generalized linear modeling. The study was registered in the German Clinical Trials Register (DRKS-ID: DRKS00012938). Results MC showed highest initial treatment costs (557.23 Euro), but the least re-treatments (6/23, 26%), while PC showed lowest initial costs (203.52 Euro) but the most re-treatments (11/20, 55%). Costs for MP/GF post-crowns were initially similarly costly (496.47/496.87 Euro), and both also showed similar re-treatments (35%/36%). The overall annual failure rate was 5.2%

Pino De Fibra De Vidro: Revisão De Literatura

“…Concluiu-se que a restauração com pinos de fibra de vidro personalizada em CAD /CAM melhorou significativamente a resistência à fratura de canais radiculares alargados, em comparação ao uso de pinos de fibra de vidro préfabricados ou núcleo metálico fundido em liga de ouro. Schwendicke et al (2020), avariaram o custo-benefício de diferentes tipos de restaurações por meio de um estudo clínico. Ao todo, foram restaurados 139 incisivos, caninos ou pré-molares, com acompanhamento médio de 4,5 anos.…”

“…De acordo com os estudos avaliados, observou-se que, em geral, os pinos de fibra de vidro apresentaram desempenho similar aos núcleos metálicos fundidos, sendo considerados uma alternativa viável e eficaz para a restauração de dentes tratados endodonticamente, especialmente em áreas anteriores, nas quais há maiores exigências estéticas (GIOVANI et al, 2009;FIGUEIREDO et al, 2015;MARCHIONATTI et al, 2017;CLOET et al, 2017;GARCIA et al, 2020;SARKIS-ONOFRE et al, 2020). Apesar de serem relacionados a procedimentos de maior custo, os pinos de fibra de vidro devem ser levados em consideração tendo em vista suas vantagens estéticas e o bom desempenho em longo prazo (SCHWENDICKE et al, 2020).…”

Patterns of Post-Endodontic Restoration: A Nationwide Survey of Dentists in Turkey

“…Besides, they also reduce the risk of vertical root fracture since they have a modulus of elasticity similar to that of dentine [42]. Although clinical studies show only minor differences between different posts [43], the placement costs for different posts may differ in laboratory costs or luting efforts [44]. These results have not been reported in other countries such as the UK and Sweden, where cast posts and prefabricated metal posts were reported to be preferred [31][32][33][34][35][36][37][38][39][40][41][42][43][44][45].…”

“…Although clinical studies show only minor differences between different posts [43], the placement costs for different posts may differ in laboratory costs or luting efforts [44]. These results have not been reported in other countries such as the UK and Sweden, where cast posts and prefabricated metal posts were reported to be preferred [31][32][33][34][35][36][37][38][39][40][41][42][43][44][45]. However, these studies were performed during 1995-2001, before the fiber post had gained the popularity it experiences today.…”