Recent Findings from Technical University Has Provided New Information about Health Insurance (Re-interventions after restoring teeth Mining an…

Managed Care Weekly Digest

Recent Findings from Technical University Has Provided New Information about Health Insurance (Re-interventions after restoring teeth Mining an insurance database)

By a News Reporter-Staff News Editor at Managed Care Weekly Digest -- Investigators publish new report on Health Insurance. According to news reporting from Dresden, Germany, by NewsRx journalists, research stated, "The aim of this study was to examine re-interventions after restorative treatment. The data was collected from the digital database of a major German national health insurance company."

The news correspondents obtained a quote from the research from Technical University, "Only permanent teeth were observed. Placing a permanent restoration other than a crown regardless of involved surfaces and material was the study intervention. The data did not allow for a differentiation between fillings and inlays that were estimated only a very small portion of the restorations. Success was defined as not undergoing any restorative re-intervention with fillings or inlays on the same tooth (primary outcome) and assessed with Kaplan-Meier survival analyses over four years. An additional analysis was conducted rating 'crowning' and 'extraction' of respective teeth as target events. Differences were tested with the Log-Rank-test. A multivariate Cox regression analyses was carried out. A total of 17,024,344 restorations placed in 4,825,408 anterior teeth and 9,973,177 posterior teeth could be traced. Focussing on the primary outcome re-intervention, the cumulative four-year success rate was 69.9% for one surface restorations, 74.8% for two surface restorations, 66.6% for three surface restorations and 61.0% for four surface and more extended restorations. These differences were significant (p < 0.0001). Focussing on all three target events re-intervention, crowning and extraction, the cumulative four-year success rate was 66.1% for one surface restorations, 67.5% for two surface restorations, 63.0% for three surface restorations and 55.8% for four surface and more extended restorations. The number of restoration surfaces as well as the tooth position remained significant in the multivariate Cox regression. The sustainability of restorative dental treatment under the terms and conditions of the German national health insurance system shows room for improvement. From a public health perspective, special focus should be laid on primary and secondary prevention to minimize the restorative treatment need. Clinical significance statement: This study shows that re-interventions are observed regularly after restorative treatment."

According to the news reporters, the research concluded: "Therefore, preventive and restorative strategies should be revisited and optimised."

For more information on this research see: Re-interventions after restoring teeth Mining an insurance database. Journal of Dentistry, 2017;57():14-19. Journal of Dentistry can be contacted at: Elsevier Sci Ltd, The Boulevard, Langford Lane, Kidlington, Oxford OX5 1GB, Oxon, England. (Elsevier - www.elsevier.com; Journal of Dentistry - www.journals.elsevier.com/journal-of-dentistry/)

Our news journalists report that additional information may be obtained by contacting M. Raedel, Technical University of Dresden, Fac Med Carl Gustav Carus, Dept. of Prosthet Dental, D-01307 Dresden, Germany. Additional authors for this research include A. Hartmann, H.W. Priess, S. Bohm, S. Samietz, I. Konstantinidis and M.H. Walter (see also Health Insurance).

Keywords for this news article include: Dresden, Germany, Europe, Insurance Companies, Health Insurance, Technical University.