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• W1214432912 endingPage "57" @default.
• W1214432912 startingPage "1" @default.
• W1214432912 abstract "Epidemiological surveys have reported that 25%-35% of root filled teeth are associated with periapical radiolucencies. Descriptive studies have demonstrated that clinicians' decision making regarding such teeth are subject to substantial variation. A coherent model to explain the observed variation has not been produced. In the present thesis a Praxis Concept theory was proposed. The theory suggests that dentists perceive periapical lesions of varying sizes as different stages on a continuous health scale. Interindividual variations can then be regarded as the result of the choice of different cut-off points on the continuum for prescribing retreatment. In the present study experiments among novice and expert decision makers gave evidence in favour of the theory. Data also suggested that the choice of retreatment criterion is affected by values, costs of retreatment and technical quality of original treatment. From a prescriptive point of view, the presence of a persistent periapical radiolucency has often been used as a criterion of endodontic failure and as an indication for endodontic retreatment. As an alternative decision strategy, the use of decision analysis has been proposed. Logical display of decision alternatives, values of probabilities, utility values (U-values) of the different outcomes and calculation of optimal decision strategy are features of this theory. The implementation of this approach is impeded by the uncertainty of outcome probabilities and lack of investigations concerning U-values. U-values of two periapical health states in root filled teeth (with and without a periapical lesion respectively) were investigated in a group of 82 dental students and among 16 Swedish endodontists. Two methods were used to elicit U-values: Standard gamble and Visual Analogue Scale. Large interindividual variation for both health states were recorded. The difference in U-values between the two health states was found to be statistically significant regardless of assessment method. Compared with Standard gamble Visual Analogue Scale systematically produced lower ratings. U-values were found to change considerably in both the short and long-term. Any significant correlation between endodontists' U-values and retreatment prescriptions could not be demonstrated. Surgical and nonsurgical retreatment were randomly assigned to 95 failed root filled teeth in 92 patients. Cases were followed clinically and radiographically for four years postoperatively. At the 12-month recall a statistically significant higher healing rate was observed for teeth retreated surgically. At the final 48-month recall no systematic difference was detected. Patients were found to be more subject to postoperative discomfort when teeth were retreated surgically compared with nonsurgically. Consequently, surgical retreatment tended to be associated with higher indirect costs than a nonsurgically approach. In the final part of the thesis it is argued that retreatment decision making in everyday clinical practice normally should be based on simple principles. It is suggested that in order to achieve the best overall consequence a periapical lesion in a root filled tooth that is not expected to heal should be retreated. Arguments to withhold retreatment should be based on (i) respect for patient autonomy, (ii) retreatment risks or (iii) retreatment costs." @default.
• W1214432912 created "2016-06-24" @default.
• W1214432912 creator A5060350062 @default.
• W1214432912 date "2001-01-01" @default.
• W1214432912 modified "2023-09-29" @default.
• W1214432912 title "Endodontic retreatment. Aspects of decision making and clinical outcome." @default.
• W1214432912 cites W1441749321 @default.
• W1214432912 cites W1488489855 @default.
• W1214432912 cites W1520189911 @default.
• W1214432912 cites W1537598136 @default.
• W1214432912 cites W1554701668 @default.
• W1214432912 cites W1555798572 @default.
• W1214432912 cites W1581813620 @default.
• W1214432912 cites W1782204000 @default.
• W1214432912 cites W1880201259 @default.
• W1214432912 cites W1964089752 @default.
• W1214432912 cites W1964209701 @default.
• W1214432912 cites W1966425665 @default.
• W1214432912 cites W1968181674 @default.
• W1214432912 cites W1970020519 @default.
• W1214432912 cites W1970878685 @default.
• W1214432912 cites W1971298993 @default.
• W1214432912 cites W1974297201 @default.
• W1214432912 cites W1976112623 @default.
• W1214432912 cites W1977638405 @default.
• W1214432912 cites W1981770116 @default.
• W1214432912 cites W1983380357 @default.
• W1214432912 cites W1984803994 @default.
• W1214432912 cites W1986549290 @default.
• W1214432912 cites W1986557552 @default.
• W1214432912 cites W1988040782 @default.
• W1214432912 cites W1993319393 @default.
• W1214432912 cites W1993679027 @default.
• W1214432912 cites W1994147697 @default.
• W1214432912 cites W1999789157 @default.
• W1214432912 cites W2000582362 @default.
• W1214432912 cites W2001768888 @default.
• W1214432912 cites W2002163069 @default.
• W1214432912 cites W2005344759 @default.
• W1214432912 cites W2007885183 @default.
• W1214432912 cites W2013143005 @default.
• W1214432912 cites W2014920757 @default.
• W1214432912 cites W2015795623 @default.
• W1214432912 cites W2018247951 @default.
• W1214432912 cites W2018964860 @default.
• W1214432912 cites W2021393775 @default.
• W1214432912 cites W2021478309 @default.
• W1214432912 cites W2022231608 @default.
• W1214432912 cites W2022631381 @default.
• W1214432912 cites W2024694940 @default.
• W1214432912 cites W2025019060 @default.
• W1214432912 cites W2025077582 @default.
• W1214432912 cites W2026372058 @default.
• W1214432912 cites W2027569571 @default.
• W1214432912 cites W2028478086 @default.
• W1214432912 cites W2028770837 @default.
• W1214432912 cites W2028822295 @default.
• W1214432912 cites W2030555132 @default.
• W1214432912 cites W2031022522 @default.
• W1214432912 cites W2033635599 @default.
• W1214432912 cites W2033799002 @default.
• W1214432912 cites W2034219512 @default.
• W1214432912 cites W2038703593 @default.
• W1214432912 cites W2039168968 @default.
• W1214432912 cites W2045088202 @default.
• W1214432912 cites W2046337927 @default.
• W1214432912 cites W2046995120 @default.
• W1214432912 cites W2050281737 @default.
• W1214432912 cites W2052008996 @default.
• W1214432912 cites W2052118892 @default.
• W1214432912 cites W2055546152 @default.
• W1214432912 cites W2056445947 @default.
• W1214432912 cites W2059512494 @default.
• W1214432912 cites W2060476637 @default.
• W1214432912 cites W2060486760 @default.
• W1214432912 cites W2060698186 @default.
• W1214432912 cites W2060921046 @default.
• W1214432912 cites W2062030121 @default.
• W1214432912 cites W2064475961 @default.
• W1214432912 cites W2064686220 @default.
• W1214432912 cites W2070838844 @default.
• W1214432912 cites W2074335954 @default.
• W1214432912 cites W2076828822 @default.
• W1214432912 cites W2078846928 @default.
• W1214432912 cites W2079705153 @default.
• W1214432912 cites W2080651360 @default.
• W1214432912 cites W2082358218 @default.
• W1214432912 cites W2085608459 @default.
• W1214432912 cites W2087372187 @default.
• W1214432912 cites W2087493727 @default.
• W1214432912 cites W2088090281 @default.
• W1214432912 cites W2089555270 @default.
• W1214432912 cites W2091345996 @default.
• W1214432912 cites W2101232688 @default.
• W1214432912 cites W2101994447 @default.
• W1214432912 cites W2103707133 @default.
• W1214432912 cites W2108031085 @default.
• W1214432912 cites W2108534423 @default.

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