Expenditure and Treatment Patterns of Endodontic Service

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  • 社会保険診療における根管治療に関する点数分布と診療行為分析

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This study was related to endodontic expenditure and treatment patterns in private dental clinics in Japan. Dental care records registered in the national medical expenditure surveys of 1980, 1983, 1985, 1990 and 1994 were used. The numbers of samples analyzed in this study were 16,145, 8,831, 18,028, 17,165 and 18,294, respectively. The results were as follows: 1) Endodontic expenditure had gradually decreased since 1980. In 1994, the proportion of endodontic expenditure to dental care expenditure went down to 8.3%. 2) The 40-59 year-old group was given endodontic service more frequently than any other age group, accounting for one-third of all endodontic services. 3) The 70 or more year-old population exhibited the lowest proportion of endodontic expenditure (4.0-5.0% of dental care expenditure). On the other hand, endodontic expenditure was the greatest in the 20-29 year-old group (11% of the dental care expenditure), which was partly due to the higher prevalence of pulp extirpations in multirooted teeth. 4) Seventy-three percent of the teeth were electronically measured for root canal length in pulp extirpation procedures, and 51% were measured in infected root canal treatments. 5) Comprehensive value points in endodontic service were calculated. The most typical value point was based on a series of endodontic treatments with root canal filling after no or a single episode of intra-canal medication.

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