{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,19]],"date-time":"2026-04-19T00:46:56Z","timestamp":1776559616242,"version":"3.51.2"},"reference-count":25,"publisher":"Operative Dentistry","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,5]]},"abstract":"SUMMARY<\/jats:title>\n \n Objectives:<\/jats:bold> The aim of this study was to assess four post-retained restorative strategies for endodontically treated teeth using cost-minimization analysis. Methods and Materials: The cost-minimization analysis was based on primary data from a randomized clinical trial and followed the Consolidated Health Economic Evaluation Reporting Standards (CHEERS) guidelines. Two hundred twenty-five teeth (141 patients) restored using four strategies\u2014teeth with ferrules+ restored with either glass fiber posts or direct composite or crowns, and teeth without ferrules- restored with either glass fiber or cast metal posts with crowns\u2014were evaluated annually between 2009 and 2018. Initial costs and incremental costs per year were calculated. Survival curves were created using the Kaplan-Meier method and log-rank test. Kruskal-Wallis analysis was followed by Dunn's test, which was used to compare restorative treatments, with a significance level of 5%. Results:<\/jats:bold> Initial costs were greater for cast metal posts without crowns (US$153.14). Glass fiber posts with composite (US$27.11) were least costly; the most failures occurred in this group, but they were primarily repairable restoration fractures. The number of extractions, and thus cost, was greater for glass fiber posts with crowns. The mean annual cost was significantly lower for teeth restored with composite (p<\/jats:italic><0.001). Ferrule presence did not significantly impact annual costs. Conclusions:<\/jats:bold> The use of glass fiber posts and direct composite incurred significantly lower annual costs than did other alternatives involving crowns or metal posts.<\/jats:p>","DOI":"10.2341\/20-056-c","type":"journal-article","created":{"date-parts":[[2021,6,30]],"date-time":"2021-06-30T14:59:42Z","timestamp":1625065182000},"page":"255-262","source":"Crossref","is-referenced-by-count":7,"title":["Post-retained Restorations: A Cost-minimization Analysis Nested in a Randomized Clinical Trial"],"prefix":"10.2341","volume":"46","author":[{"given":"ALC","family":"Pires","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V","family":"Poletto-Neto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"LA","family":"Chisini","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F","family":"Schwendicke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T","family":"Pereira-Cenci","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1188","reference":[{"key":"i1559-2863-46-3-255-b1","series-title":"Applied methods of cost-effectiveness analysis in healthcare","year":"2011","unstructured":"Gray\n AM,\n \n \n Clark\n PM,\n \n \n Wolstenholme\n JL,\n &\n\t\t\t\t\t\tWordsworthS(\n\t\t\t\t\t2011)\n\t\t\t\t\tApplied methods of cost-effectiveness analysis in healthcare,\n\t\t\t\t\tOxford University Press,\n\t\t\t\t\tOxford."},{"issue":"10","key":"i1559-2863-46-3-255-b2","series-title":"Ci\u00eancia e Sa\u00fade Coletiva","first-page":"4209","article-title":"Decision modeling for economic evaluation of health Technologies","volume":"19","year":"2014","unstructured":"de So\u00e1rez\n PC,\n \n \n Soares\n MO,\n &\n\t\t\t\t\t\tNovaesHM(\n\t\t\t\t\t2014)\n\t\t\t\t\tDecision modeling for economic evaluation of health Technologies.\n\t\t\t\t\tCi\u00eancia e Sa\u00fade Coletiva19(\n\t\t\t\t\t10)\n\t\t\t\t\t4209\u2013\n\t\t\t\t\t4222http:\/\/dx.doi.org\/10.1590\/1413-812320141910.02402013"},{"issue":"1","key":"i1559-2863-46-3-255-b3","series-title":"BMC Health Services Research","first-page":"412","article-title":"A scoping review of cost-effectiveness of screening and treatment for latent tuberculosis infection in migrants from high-incidence countries","volume":"15","year":"2015","unstructured":"Zammarchi\n L,\n \n 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Dentistry49(\n\t\t\t\t\t5)\n\t\t\t\t\t272\u2013\n\t\t\t\t\t278https:\/\/doi.org\/10.1111\/j.1752-7325.1989.tb02085.x."},{"issue":"2","key":"i1559-2863-46-3-255-b5","series-title":"Journal of Endodontics","first-page":"175","article-title":"Performance of post-retained single crowns: A systematic review of related risk factors","volume":"43","year":"2017","unstructured":"Sarkis-Onofre\n R,\n \n \n Fergusson\n D,\n \n \n Cenci\n MS,\n \n \n Moher\n D,\n &\n\t\t\t\t\t\tPereira-CenciT(\n\t\t\t\t\t2017)\n\t\t\t\t\tPerformance of post-retained single crowns: A systematic review of related risk factorsJournal of Endodontics43(\n\t\t\t\t\t2)\n\t\t\t\t\t175\u2013\n\t\t\t\t\t183,\n\t\t\t\t\thttps:\/\/doi.org\/10.1016\/j.joen.2016.10.025"},{"issue":"5","key":"i1559-2863-46-3-255-b6","series-title":"Journal of Dentistry","first-page":"582","article-title":"Cast metal vs. glass fibre posts: A randomized controlled trial with up to 3 years of follow up","volume":"42","year":"2014","unstructured":"Sarkis-Onofre\n R,\n \n \n Jacinto\n RC,\n \n \n Boscato\n N,\n \n \n Cenci\n MS,\n &\n\t\t\t\t\t\tPereira-CenciT(\n\t\t\t\t\t2014)\n\t\t\t\t\tCast metal vs. glass fibre posts: A randomized controlled trial with up to 3 years of follow upJournal of Dentistry42(\n\t\t\t\t\t5)\n\t\t\t\t\t582\u2013\n\t\t\t\t\t587https:\/\/doi.org\/10.1016\/j.jdent.2014.02.003"},{"issue":"11","key":"i1559-2863-46-3-255-b7","series-title":"Journal of Endodontics","first-page":"1770","article-title":"Dentin-like versus rigid endodontic post: 11-year randomized controlled pilot trial on no-wall to 2-wall defects","volume":"43","year":"2017","unstructured":"Naumann\n M,\n \n \n Sterzenbach\n G,\n \n \n Dietrich\n T,\n \n \n Bitter\n K,\n \n \n Frankenberger\n R,\n \n \n von Stein-Lausnitz\n M\n \n (\n\t\t\t\t\t2017)\n\t\t\t\t\tDentin-like versus rigid endodontic post: 11-year randomized controlled pilot trial on no-wall to 2-wall defectsJournal of 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Short-Term Interest Rates","unstructured":"Brazilian Central Bank,\n \n Review of COPOM Meetings and Short-Term Interest Rates.\n\t\t\t\t\tRetrieved online January 29, 2019 from: https:\/\/www.bcb.gov.br\/en\/legacy?url=https:%2F%2Fwww.bcb.gov.br%2Fpec%2Fcopom%2Fingl%2FtaxaSelic-i.asp"},{"issue":"10","key":"i1559-2863-46-3-255-b12","series-title":"Journal of Dental Research","first-page":"943","article-title":"Longevity of Posterior composite restorations: a systematic review and meta-analysis","volume":"93","year":"2014","unstructured":"Opdam\n NJM,\n \n \n van de Sande\n FH,\n \n \n Bronkhorst\n E,\n \n \n Cenci\n MS,\n \n \n Bottenberg\n P,\n \n \n Pallesen\n U,\n \n \n Gaengler\n P,\n \n \n Lindberg\n A,\n \n \n Huysmans\n MCDNJM,\n &\n\t\t\t\t\t\tvan DijkenJW(\n\t\t\t\t\t2014)\n\t\t\t\t\tLongevity of Posterior composite restorations: a systematic review and meta-analysisJournal of Dental Research93(\n\t\t\t\t\t10)\n\t\t\t\t\t943\u2013\n\t\t\t\t\t949https:\/\/doi.org\/10.1177\/0022034514544217"},{"issue":"10","key":"i1559-2863-46-3-255-b13","series-title":"International Endodontic Journal","first-page":"951","article-title":"Failure of singleunit restorations on root filled posterior teeth: A systematic review","volume":"50","year":"2017","unstructured":"Afrashtehfar\n KI,\n \n \n Ahmadi\n M,\n \n \n Emami\n E,\n \n \n Abi-Nader\n S,\n &\n\t\t\t\t\t\tTamimiF(\n\t\t\t\t\t2017)\n\t\t\t\t\tFailure of singleunit restorations on root filled posterior teeth: A systematic reviewInternational Endodontic Journal50(\n\t\t\t\t\t10)\n\t\t\t\t\t951\u2013\n\t\t\t\t\t966https:\/\/doi.org\/10.1111\/iej.12723"},{"issue":"9","key":"i1559-2863-46-3-255-b14","series-title":"Cochrane Database Systematic Reviews","first-page":"CD009109","article-title":"Single crowns versus conventional fillings for the restoration of rootfilled teeth","year":"2015","unstructured":"Sequeira-Byron\n P,\n \n \n Fedorowicz\n Z,\n \n \n Carter\n B,\n \n \n Nasser\n M,\n &\n\t\t\t\t\t\tAlrowailiEF(\n\t\t\t\t\t2015)\n\t\t\t\t\tSingle crowns versus conventional fillings for the restoration of rootfilled teeth.\n\t\t\t\t\tCochrane Database Systematic Reviews (\n\t\t\t\t\t9),\n\t\t\t\t\tCD009109https:\/\/doi.org\/10.1002\/14651858.CD009109.pub3"},{"issue":"3","key":"i1559-2863-46-3-255-b15","series-title":"Journal of Endodontics","first-page":"309","article-title":"Do metal post-retained restorations result in more root fractures than fiber post-retained restorations? A systematic review and meta-analysis","volume":"41","year":"2015","unstructured":"Figueiredo\n FED,\n \n \n Martins-Filho\n PRS,\n &\n\t\t\t\t\t\tFaria-e-SilvaAL(\n\t\t\t\t\t2015)\n\t\t\t\t\tDo metal post-retained restorations result in more root fractures than fiber post-retained restorations? A systematic review and meta-analysisJournal of Endodontics41(\n\t\t\t\t\t3)\n\t\t\t\t\t309\u2013\n\t\t\t\t\t316https:\/\/doi.org\/10.1016\/j.joen.2014.10.006"},{"issue":"11","key":"i1559-2863-46-3-255-b16","series-title":"Journal of Clinical Periodontology","first-page":"1145","article-title":"Cost comparison of prediction-based decision-making for periodontally affected molars","volume":"44","year":"2017","unstructured":"Schwendicke\n F,\n \n \n Stolpe\n M,\n &\n\t\t\t\t\t\tGraetzC(\n\t\t\t\t\t2017)\n\t\t\t\t\tCost comparison of prediction-based decision-making for periodontally affected molarsJournal of Clinical Periodontology44(\n\t\t\t\t\t11)\n\t\t\t\t\t1145\u2013\n\t\t\t\t\t1152https:\/\/doi.org\/10.1111\/jcpe.12796"},{"key":"i1559-2863-46-3-255-b17","series-title":"Journal of Dentistry","first-page":"41","article-title":"Cost-effectiveness of repairing versus replacing composite or amalgam restorations","volume":"54","year":"2016","unstructured":"Kanzow\n P,\n \n \n Wiegand\n A,\n &\n\t\t\t\t\t\tSchwendickeF(\n\t\t\t\t\t2016)\n\t\t\t\t\tCost-effectiveness of repairing versus replacing composite or amalgam restorationsJournal of Dentistry5441\u2013\n\t\t\t\t\t47https:\/\/doi.org\/10.1016\/j.jdent.2016.08.008"},{"key":"i1559-2863-46-3-255-b18","series-title":"Journal of Dentistry","first-page":"58","article-title":"Cost-effectiveness of root caries preventive treatments","volume":"56","year":"2017","unstructured":"Schwendicke\n F,\n &\n\t\t\t\t\t\tG\u00f6stemeyerG(\n\t\t\t\t\t2017)\n\t\t\t\t\tCost-effectiveness of root caries preventive treatmentsJournal of Dentistry5658\u2013\n\t\t\t\t\t64https:\/\/doi.org\/10.1016\/j.jdent.2016.10.016"},{"issue":"1","key":"i1559-2863-46-3-255-b19","series-title":"BMC Oral Health","first-page":"153","article-title":"Cost-effectiveness of caries excavations in different risk groups\u2014a micro-simulation study","volume":"14","year":"2014","unstructured":"Schwendicke\n F,\n \n \n Paris\n S,\n &\n\t\t\t\t\t\tStolpeM(\n\t\t\t\t\t2014)\n\t\t\t\t\tCost-effectiveness of caries excavations in different risk groups\u2014a micro-simulation studyBMC Oral Health14(\n\t\t\t\t\t1)\n\t\t\t\t\t153https:\/\/doi.org\/10.1186\/1472-6831-14-153"},{"issue":"1","key":"i1559-2863-46-3-255-b20","series-title":"JDR Clinical & Translational Research","first-page":"31","article-title":"Ferrule effect: A meta-analysis","volume":"1","year":"2016","unstructured":"Skupien\n JA,\n \n \n Luz\n MS,\n &\n\t\t\t\t\t\tPereira-CenciT(\n\t\t\t\t\t2016)\n\t\t\t\t\tFerrule effect: A meta-analysisJDR Clinical & Translational Research1(\n\t\t\t\t\t1)\n\t\t\t\t\t31\u2013\n\t\t\t\t\t39https:\/\/doi.org\/10.1177\/2380084416636606"},{"issue":"10","key":"i1559-2863-46-3-255-b21","series-title":"Journal of Dentistry","first-page":"778","article-title":"Up to 17-year controlled clinical study on post-and-cores and covering crowns","volume":"35","year":"2007","unstructured":"Fokkinga\n WA,\n \n \n Kreulen\n CM,\n \n \n Bronkhorst\n EM,\n &\n\t\t\t\t\t\tCreugersNH(\n\t\t\t\t\t2007)\n\t\t\t\t\tUp to 17-year controlled clinical study on post-and-cores and covering crownsJournal of Dentistry35(\n\t\t\t\t\t10)\n\t\t\t\t\t778\u2013\n\t\t\t\t\t786https:\/\/doi.org\/10.1016\/j.jdent.2007.07.006"},{"issue":"6","key":"i1559-2863-46-3-255-b22","series-title":"Journal of Prosthetic Dentistry","first-page":"887","article-title":"Do anterior and posterior teeth treated with post-and-core restorations have similar failure rates? A systematic review and meta-analysis","volume":"121","year":"2019","unstructured":"Garcia\n PP,\n \n \n Wambier\n LM,\n \n \n de Geus\n JL,\n \n \n da Cunha\n LF,\n \n \n Correr\n GM,\n &\n\t\t\t\t\t\tGonzagaCC(\n\t\t\t\t\t2019)\n\t\t\t\t\tDo anterior and posterior teeth treated with post-and-core restorations have similar failure rates? A systematic review and meta-analysisJournal of Prosthetic Dentistry121(\n\t\t\t\t\t6)\n\t\t\t\t\t887\u2013\n\t\t\t\t\t894.e4https:\/\/doi.org\/10.1016\/j.prosdent.2018.08.004"},{"issue":"1","key":"i1559-2863-46-3-255-b23","series-title":"Indian Journal of Dental Research","first-page":"58","article-title":"Randomized clinical study comparing metallic and glass fiber post in restoration of endodontically treated teeth","volume":"25","year":"2014","unstructured":"Gbadebo\n OS,\n \n \n Ajayi\n DM,\n \n \n Oyekunle\n OO,\n &\n\t\t\t\t\t\tShabaPO(\n\t\t\t\t\t2014)\n\t\t\t\t\tRandomized clinical study comparing metallic and glass fiber post in restoration of endodontically treated teethIndian Journal of Dental Research25(\n\t\t\t\t\t1)\n\t\t\t\t\t58\u2013\n\t\t\t\t\t63http:\/\/doi.org\/10.4103\/0970-9290.131126"},{"issue":"8","key":"i1559-2863-46-3-255-b24","series-title":"Journal of Dental Research","first-page":"729","article-title":"Post placement affects survival of endodontically treated premolars","volume":"86","year":"2007","unstructured":"Ferrari\n M,\n \n \n Cagidiaco\n MC,\n \n \n Grandini\n S,\n \n \n de Sanctis\n M,\n &\n\t\t\t\t\t\tGoracciC(\n\t\t\t\t\t2007)\n\t\t\t\t\tPost placement affects survival of endodontically treated premolarsJournal of Dental Research86(\n\t\t\t\t\t8)\n\t\t\t\t\t729\u2013\n\t\t\t\t\t734https:\/\/doi.org\/10.1177\/154405910708600808"},{"issue":"6","key":"i1559-2863-46-3-255-b25","series-title":"International Journal of Prosthodontics","first-page":"593","article-title":"Clinical behavior of translucent-fiber posts: a 2-year prospective study","volume":"16","year":"2003","unstructured":"Monticelli\n F,\n \n \n Grandini\n S,\n \n \n Goracci\n C,\n &\n\t\t\t\t\t\tFerreiraM(\n\t\t\t\t\t2003)\n\t\t\t\t\tClinical behavior of translucent-fiber posts: a 2-year prospective studyInternational Journal of Prosthodontics16(\n\t\t\t\t\t6)\n\t\t\t\t\t593\u2013\n\t\t\t\t\t596."}],"container-title":["Operative Dentistry"],"original-title":[],"link":[{"URL":"https:\/\/operative-dentistry.kglmeridian.com\/view\/journals\/odnt\/46\/3\/article-p255.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/operative-dentistry\/article-pdf\/46\/3\/255\/2933126\/i1559-2863-46-3-255.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/operative-dentistry.kglmeridian.com\/downloadpdf\/journals\/odnt\/46\/3\/article-p255.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/operative-dentistry.kglmeridian.com\/downloadpdf\/journals\/odnt\/46\/3\/article-p255.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,27]],"date-time":"2025-09-27T00:44:14Z","timestamp":1758933854000},"score":1,"resource":{"primary":{"URL":"https:\/\/operative-dentistry.kglmeridian.com\/view\/journals\/odnt\/46\/3\/article-p255.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5]]},"references-count":25,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.2341\/20-056-c","relation":{},"ISSN":["1559-2863","0361-7734"],"issn-type":[{"value":"1559-2863","type":"electronic"},{"value":"0361-7734","type":"print"}],"subject":[],"published":{"date-parts":[[2021,5]]}}}