Teeth treated with apicOectomies had acceptable 3-year survival rates, based on insurance claims data
Articolo
Data di Pubblicazione:
2016
Citazione:
Teeth treated with apicOectomies had acceptable 3-year survival rates, based on insurance claims data / S. Taschieri, S. Corbella. - In: JOURNAL OF EVIDENCE BASED DENTAL PRACTICE. - ISSN 1532-3382. - 16:3(2016 Sep), pp. 193-195. [10.1016/j.jebdp.2016.09.003]
Abstract:
Subjects
This retrospective data analysis was based on the claims data of a major German
national health insurance company (BARMER GEK) that represent about 8.6
million persons. The study data included about 93,797 apicoectomies performed
in 77,636 patients (26,640 men), with a mean age of 50.58 years (standard deviation
of 15.59; range, 8-99 years).
Key Exposure/Study factor
The intervention analyzed was apicoectomy. Diagnosis and tooth condition were
unknown. The observation period was up to 3 years. Most of the apicoectomies
were delivered in anterior teeth (n 5 32,353) and premolars (n 5 32,340) as
compared to molar teeth (n 5 29,104).
Main Outcome Measure
The main outcome measure was tooth survival as evaluated 1, 2, and 3 years after
surgery.
Main Results
The principal finding was that cumulative survival rates for all teeth were 91.4% at
1 year, 85.7% at 2 years, and 81.6% at 3 years. The 3-year survival rate was
highest in anterior teeth (84.0%) and similar in premolars (80.4%) and molars
(80.2%). The difference between anterior teeth and posterior teeth was highly
significant (P ,.0001). The survival rate was higher in men than in women (83.5%
vs 80.6%). This difference was highly significant (P ,.0001). Analyzing survival by
age, significant differences among the age groups were found (P , .0001).
Analysis of survival by age revealed continuously declining survival rates with age
(93.3% for subjects under age 18 years to 75.6% for subjects over age 84 years).
Conclusions
The authors concluded that the survival rates for teeth treated with apicoectomies
are acceptable for an intervention that is primarily conducted as a retreatment after failure of root canal treatment. The study
underlined that the rate of failures as evaluated each year
potentially indicates a minor tendency toward more early
failures.
Tipologia IRIS:
01 - Articolo su periodico
Elenco autori:
S. Taschieri, S. Corbella
Link alla scheda completa: