Goldberg M | Volume 1; Issue 2 (2020) | Mapsci-JBAR-1(2)-012 | Editorial
Citation: Goldberg M, The global cost of endodontic therapies. J Biomed Allied Res. 2020;1(2):1-
2.
DOI: https://doi.org/10.37191/Mapsci-2582-4937-1(2)-012
1
The Global Cost of Endodontic Therapies
Michel Goldberg
*
Professor Emeritus, Faculty of Fundamental and Biomedical Sciences, Department of Oral Biology, Paris Cité
University, INSERM UMR-S 1124, 45 rue des Saints Pères 75006 Paris, France.
*
Corresponding Author: Goldberg M Faculty of Fundamental and Biomedical Sciences, INSERM UMR-S
1124. 45 rue des Saints Pères 75006 Paris, France. Tel: 33-662-67-67-09.
Received Date: 01-09-2020; Accepted Date: 01-17-2020; Published Date: 01-21-2020
Copyright
©
2019 by Goldberg M. All rights reserved. This is an open access article distributed under the terms
of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in
any medium, provided the original author and source are credited.
Editorial
The yearly global economic impact of dental diseases is about $442 billion. The direct costs
due to dental diseases are $298 billion annually, corresponding to 4.6% of global health
expenditure. Each year an amount of $400 billion is spent, including millions of dental
procedures and pointing to imperative needs for tooth therapies [1].
Annual fees and implications
Root filling therapies display a 17% increase/per year for a population with low caries
prevalence [2]. Severe odontogenic infections implicate the length of stay at the hospital;
antibiotic administered, intensive care unit stay, co-morbidities, and cost implications.
Statistics indicate that about 2.5 million endodontic cases were treated in 1995.
The selection of antibiotics
Antibiotics are used in dental practice to prevent and cure topical or systemic infections. For
dental surgeons, the association of amoxilline – clavulanate is predominant. The cost of daily
doses of antibiotics was 47.18 Euros/1000 inhabitants/day. Following the prescribtions
combining penicillins (betalactams and fluorquinolones), the National Health Care System
evaluates the cost for dental treatments at 334.12 million euros. Amoxicillin associated with
clavulanic acid account for 67.8% of all prescriptions and 59.4% of the total cost. Spiramycin
and metro-nidazole association account for 13.34% of the prescriptions, and represents the
most used by dental practitionners [3] listed the ideal properties of endodontic sealers. They
were aiming to establish a hermetic closure, dimensionally stable, that does not cause
discoloration of the tooth, with a slow stetting time, and insoluble in tissue fluids. It should
have anti-microbial properties, be nonirritant, and allows an increased adhesion between the
Journal of Biomedical and Allied Research
An Open Access Journal
ISSN: 2582-4937