Kandace Yee1, Pradeep Bhagavatula2, Sheila Stover3, Frederick Eichmiller4, Lance Hashimoto5, Scott MacDonald6, Gordon Barkley6. 1. Department of Endodontics, Marquette University School of Dentistry, Milwaukee, Wisconsin. Electronic address: kandace.yee@marquette.edu. 2. Department of Clinical Services, Marquette University School of Dentistry, Milwaukee, Wisconsin. 3. Advanced Education Program in Endodontics, Department of Endodontics, Marquette University School of Dentistry, Milwaukee, Wisconsin. 4. Delta Dental of Wisconsin, Stevens Point, Wisconsin. 5. Pre-Doctoral Program in Endodontics, Department of Endodontics, Marquette University School of Dentistry, Milwaukee, Wisconsin. 6. Department of Endodontics, Marquette University School of Dentistry, Milwaukee, Wisconsin.
Abstract
INTRODUCTION: The objective of this study was to determine the effect of delayed placement of the core/post and crown on the outcomes of nonsurgical root canal therapy (NSRCT). METHODS: According to the Delta Dental of Wisconsin claims database, 160,040 NSRCTs were completed with a core/post and a crown placed before the end of the continuous coverage period or occurrence of an untoward event. Untoward events were defined as a retreatment, apicoectomy, or extraction as defined by the Code on Dental Procedures and Nomenclature. Statistical analysis was performed by using a multivariable Cox proportional hazards model. RESULTS: The survival rate from the time of crown placement to an untoward event was 99.1% at 1 year, 96.0% at 3 years, 92.3% at 5 years, and 83.8% at 10 years. Failure rates were greater when a core/post was placed more than 60 days after the NSRCT (adjusted hazard ratio, 1.08) and when the crown was placed more than 60 days after the core/post placement (adjusted hazard ratio, 1.14). Overall, the survival rates of NSRCT were greater when performed by an endodontist versus other providers. CONCLUSIONS: On the basis of the information available from insurance claims data, this study shows that the long-term survival rates of initial endodontic therapy are adversely affected by the delayed placement of the final restoration and full coverage crown.
INTRODUCTION: The objective of this study was to determine the effect of delayed placement of the core/post and crown on the outcomes of nonsurgical root canal therapy (NSRCT). METHODS: According to the Delta Dental of Wisconsin claims database, 160,040 NSRCTs were completed with a core/post and a crown placed before the end of the continuous coverage period or occurrence of an untoward event. Untoward events were defined as a retreatment, apicoectomy, or extraction as defined by the Code on Dental Procedures and Nomenclature. Statistical analysis was performed by using a multivariable Cox proportional hazards model. RESULTS: The survival rate from the time of crown placement to an untoward event was 99.1% at 1 year, 96.0% at 3 years, 92.3% at 5 years, and 83.8% at 10 years. Failure rates were greater when a core/post was placed more than 60 days after the NSRCT (adjusted hazard ratio, 1.08) and when the crown was placed more than 60 days after the core/post placement (adjusted hazard ratio, 1.14). Overall, the survival rates of NSRCT were greater when performed by an endodontist versus other providers. CONCLUSIONS: On the basis of the information available from insurance claims data, this study shows that the long-term survival rates of initial endodontic therapy are adversely affected by the delayed placement of the final restoration and full coverage crown.
Authors: Luigi Giovanni Bernardo Sichi; Fernanda Zapater Pierre; Laura Viviana Calvache Arcila; Guilherme Schmitt de Andrade; João Paulo Mendes Tribst; Pietro Ausiello; Alessandro Espedito di Lauro; Alexandre Luiz Souto Borges Journal: Molecules Date: 2021-10-10 Impact factor: 4.411