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Article: Does three-dimensional imaging offer a financial benefit for treating maxillary molars with furcation involvement? - A pilot clinical case series

TitleDoes three-dimensional imaging offer a financial benefit for treating maxillary molars with furcation involvement? - A pilot clinical case series
Authors
Keywords3D Imaging
Cone Beam Computed Tomography
Cost Benefit Analysis
Maxillary Furcation Surgery
Issue Date2012
PublisherWiley-Blackwell Publishing, Inc.. The Journal's web site is located at http://www.blackwellpublishing.com/journals/CLR
Citation
Clinical Oral Implants Research, 2012, v. 23 n. 3, p. 351-358 How to Cite?
AbstractAim: To assess the financial benefit of cone beam computed tomography (CBCT) for the treatment options of maxillary molars including periodontal surgery and extraction followed by implant placement. Material and methods: Twelve patients with generalized chronic periodontitis were recruited, and CBCT was performed in maxillary molars (n = 22) with clinical furcation involvement and increased probing pocket depths. Treatment recommendations were either based on conventional periodontal diagnostics (clinical examinations and periapical radiographs), or based on the additional CBCT data. Clinical recommendations comprised a minimal (e.g. supportive periodontal treatment) and a maximal invasive therapy (e.g. extraction and implant placement), and these were compared with CBCT-based recommendations. According to the Swiss dental tariff structure, the probabilities of saving costs or time, and the numbers needed to treat were analysed with an empirical cumulative distribution function. Results: Average cost reduction from CBCT amounted to CHF 915 ± 1470 and saved 136 ± 217 min. Greatest reductions were found with maximal invasive clinically based treatment decisions (CHF 1566 ± 1840), particularly for second molars (CHF 2485 ± 2226). To compensate CBCT costs, 1.7 subjects were needed to treat to at least break even. Conclusions: Data from CBCT facilitated a reduction in treatment costs and time for periodontally involved maxillary molars in Switzerland. Based on these cost analyses, however, CBCT as additional diagnostic measure is justified only when more invasive therapies are planned. © 2011 John Wiley & Sons A/S.
Persistent Identifierhttp://hdl.handle.net/10722/154703
ISSN
2015 Impact Factor: 3.464
2015 SCImago Journal Rankings: 1.427
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorWalter, Cen_US
dc.contributor.authorWeiger, Ren_US
dc.contributor.authorDietrich, Ten_US
dc.contributor.authorLang, NPen_US
dc.contributor.authorZitzmann, NUen_US
dc.date.accessioned2012-08-08T08:27:00Z-
dc.date.available2012-08-08T08:27:00Z-
dc.date.issued2012en_US
dc.identifier.citationClinical Oral Implants Research, 2012, v. 23 n. 3, p. 351-358en_US
dc.identifier.issn0905-7161en_US
dc.identifier.urihttp://hdl.handle.net/10722/154703-
dc.description.abstractAim: To assess the financial benefit of cone beam computed tomography (CBCT) for the treatment options of maxillary molars including periodontal surgery and extraction followed by implant placement. Material and methods: Twelve patients with generalized chronic periodontitis were recruited, and CBCT was performed in maxillary molars (n = 22) with clinical furcation involvement and increased probing pocket depths. Treatment recommendations were either based on conventional periodontal diagnostics (clinical examinations and periapical radiographs), or based on the additional CBCT data. Clinical recommendations comprised a minimal (e.g. supportive periodontal treatment) and a maximal invasive therapy (e.g. extraction and implant placement), and these were compared with CBCT-based recommendations. According to the Swiss dental tariff structure, the probabilities of saving costs or time, and the numbers needed to treat were analysed with an empirical cumulative distribution function. Results: Average cost reduction from CBCT amounted to CHF 915 ± 1470 and saved 136 ± 217 min. Greatest reductions were found with maximal invasive clinically based treatment decisions (CHF 1566 ± 1840), particularly for second molars (CHF 2485 ± 2226). To compensate CBCT costs, 1.7 subjects were needed to treat to at least break even. Conclusions: Data from CBCT facilitated a reduction in treatment costs and time for periodontally involved maxillary molars in Switzerland. Based on these cost analyses, however, CBCT as additional diagnostic measure is justified only when more invasive therapies are planned. © 2011 John Wiley & Sons A/S.en_US
dc.languageengen_US
dc.publisherWiley-Blackwell Publishing, Inc.. The Journal's web site is located at http://www.blackwellpublishing.com/journals/CLRen_US
dc.relation.ispartofClinical Oral Implants Researchen_US
dc.rightsThe definitive version is available at www3.interscience.wiley.com-
dc.subject3D Imagingen_US
dc.subjectCone Beam Computed Tomographyen_US
dc.subjectCost Benefit Analysisen_US
dc.subjectMaxillary Furcation Surgeryen_US
dc.subject.meshCone-Beam Computed Tomography - economics-
dc.subject.meshFurcation Defects - radiography - surgery-
dc.subject.meshImaging, Three-Dimensional - economics-
dc.subject.meshMaxilla-
dc.subject.meshMolar - radiography - surgery-
dc.titleDoes three-dimensional imaging offer a financial benefit for treating maxillary molars with furcation involvement? - A pilot clinical case seriesen_US
dc.typeArticleen_US
dc.identifier.emailLang, NP:nplang@hkucc.hku.hken_US
dc.identifier.authorityLang, NP=rp00031en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1111/j.1600-0501.2011.02330.xen_US
dc.identifier.pmid22092419-
dc.identifier.scopuseid_2-s2.0-84857059010en_US
dc.identifier.hkuros198892-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-84857059010&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume23en_US
dc.identifier.issue3en_US
dc.identifier.spage351en_US
dc.identifier.epage358en_US
dc.identifier.isiWOS:000300503800012-
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridWalter, C=8424771100en_US
dc.identifier.scopusauthoridWeiger, R=7003366309en_US
dc.identifier.scopusauthoridDietrich, T=7006403752en_US
dc.identifier.scopusauthoridLang, NP=7201577367en_US
dc.identifier.scopusauthoridZitzmann, NU=7006832948en_US

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