{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T11:29:50Z","timestamp":1769513390502,"version":"3.49.0"},"reference-count":62,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2021,8,21]],"date-time":"2021-08-21T00:00:00Z","timestamp":1629504000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Treatment of odontogenic sinusitis (ODS) due to apical periodontitis (AP) is highly successful when both dental treatment and endoscopic sinus surgery (ESS) are performed. Variation exists in the literature with regard to types and timing of dental treatments and ESS when managing ODS. This study modeled expected costs of different primary dental and sinus surgical treatment pathways for ODS due to AP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Decision\u2010tree economic model.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Decision\u2010tree models were created based on cost and treatment success probabilities. Using Medicare and consumer online databases, cost data were obtained for the following dental and sinus surgical treatments across the United States: root canal therapy (RCTx), revision RCTx, apicoectomy, extraction, dental implant, bone graft, and ESS (maxillary, \u00b1 anterior ethmoid, \u00b1 frontal). A literature review was performed to determine probabilities of dental and sinus disease resolution after different dental treatments. Expected costs were determined for primary dental extraction, RCTx, and ESS pathways, and sensitivity analyses were performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Expected costs for the three different primary treatment pathways when dental care was in\u2010network and all diseased sinuses opened during ESS were as follows: dental extraction ($4,753.83), RCTx ($4,677.34), and ESS ($7,319.85).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>ODS due to AP can be successfully treated with primary dental treatments, but ESS is still frequently required. Expected costs of primary dental extraction and RCTx were roughly equal. Primary ESS had a higher expected cost, but may still be preferred in patients with prominent sinonasal symptoms. Patients' insurance coverage may also impact decision\u2010making.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>NA <jats:italic>Laryngoscope<\/jats:italic>, 132:1346\u20131355, 2022<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.29825","type":"journal-article","created":{"date-parts":[[2021,8,21]],"date-time":"2021-08-21T20:06:33Z","timestamp":1629576393000},"page":"1346-1355","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Expected Costs of Primary Dental Treatments and Endoscopic Sinus Surgery for Odontogenic Sinusitis"],"prefix":"10.1002","volume":"132","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7377-4782","authenticated-orcid":false,"given":"John R.","family":"Craig","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Henry Ford Health System  Detroit Michigan U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roderick W.","family":"Tataryn","sequence":"additional","affiliation":[{"name":"Tataryn Endodontics  Spokane Washington U.S.A."},{"name":"Department of Endodontics, School of Dentistry Loma Linda University  Loma Linda California U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haley C.","family":"Sibley","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Henry Ford Health System  Detroit Michigan U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William D.","family":"Mason","sequence":"additional","affiliation":[{"name":"Wayne State School of Medicine  Detroit Michigan U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua A.","family":"Deuel","sequence":"additional","affiliation":[{"name":"Department of Oral Maxillofacial Surgery Henry Ford Health System  Detroit Michigan U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gary E.","family":"Loyd","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Henry Ford Health System  Detroit Michigan U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David R.","family":"Nerenz","sequence":"additional","affiliation":[{"name":"Henry Ford Health System, Department of Neurosurgery Center for Health Policy and Health Services Research  Detroit Michigan U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Parul","family":"Goyal","sequence":"additional","affiliation":[{"name":"Syracuse Otolaryngology  Syracuse New York U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,8,21]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/alr.22598"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2021.102925"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2020.07.021"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3913(07)60102-4"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joen.2009.04.023"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joen.2017.01.004"},{"key":"e_1_2_7_8_1","first-page":"Cd005511","article-title":"Endodontic procedures for retreatment of periapical lesions","volume":"10","author":"Del Fabbro M","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3913(10)60096-0"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/1945892420946969"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/1945892420929265"},{"key":"e_1_2_7_12_1","unstructured":"Special Committee to Develop a Position Statement on Maxillary Sinusitis of Endodontic Origin American Association of Endodontics.Maxillary sinusitis of endodontic origin: AAE Position Statement. 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