DOI:

10.37988/1811-153X_2024_2_100

Clinical and economic efficiency of surgical treatment of patients with chronic apical periodontitis

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Authors

  • V.N. Gorbunov 1, leading management expert of dental clinics in Moscow
    ORCID ID: 0009-0002-9549-5116
  • L.A. Grigoryants 2, PhD in Medical Sciences, professor of the General and surgical dentistry Department
    ORCID ID: 0000-0003-3226-3641
  • I.A. Gor 3, PhD in Medical Sciences, associate professor of the Surgical dentistry Department
    ORCID ID: 0000-0003-0585-4518
  • M.N. Zabaeva 4, PhD in Economics, head of the Economics Department
    ORCID ID: 0000-0003-3713-5972
  • D.V. Simonyan 5, PhD in Medical Sciences, dental surgeon
    ORCID ID: 0000-0001-8826-7428
  • 1 Dental clinics, 109147, Moscow, Russia
  • 2 Russian Medical Academy of Continuous Professional Education, 125993, Moscow, Russia
  • 3 Sechenov University, 119991, Moscow, Russia
  • 4 Moscow State University of Geodesy and Cartography, 105064, Moscow, Russia
  • 5 Dental Polyclinic no. 62, 115516, Moscow, Russia

Abstract

This paper evaluates the clinical and cost-effectiveness of surgical management of chronic apical periodontitis (K04.5).
Materials and methods.
200 patients, men and women aged 18—65 years were examined. According to the method of treatment, patients were divided into 2 groups: I — endodontic surgery, II — tooth removal with immediate dental implantation with the manufacture of a temporary crown. Based on the results of treatment, the patient’s costs were compared by time and cost, the number of complications, the survival of the tooth/dental implant for 5 years, the recovery index, the state of bone tissue, and the severity of pain (VAS).
Results.
 Endodontic surgery involves 14 services and the duration of treatment is 116 minutes. Immediate implantation with the manufacture of a temporary structure includes a 21 service lasting 322 minutes.
Conclusions.
Comparison of quantitative parameters indicates a significant advantage of immediate dental implantation with fabrication of a temporary crown in terms of both time and cost parameters. Four indicators of comparative clinical and economic effectiveness (indicators of the number of complications, assessment of survival and bone tissue status, assessment of pain by VAS) demonstrate large clinical effects using endodontic surgery.

Key words:

apical periodontitis, endodontic surgery, immediate implantation, clinical and economic effectiveness

For Citation

[1]
Gorbunov V.N., Grigoryants L.A., Gor I.A., Zabaeva M.N., Simonyan D.V. Clinical and economic efficiency of surgical treatment of patients with chronic apical periodontitis. Clinical Dentistry (Russia).  2024; 27 (2): 100—105. DOI: 10.37988/1811-153X_2024_2_100

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Received

September 12, 2023

Accepted

April 16, 2024

Published on

June 28, 2024