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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1995-7-19
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pubmed:abstractText |
The objective of the study was to identify those factors that should affect treatment planning for patients who have lower third molars, using decision-analytic techniques. Utility values based on data from 104 patients indicated that the respondents considered that postoperative complications (except mild pain and temporary paresthesia) reduced health to a greater degree than did complications following non-intervention. A decision analysis indicated that the maximum expected utility of prophylactic third-molar surgery (60.25) was lower than that for non-intervention (76.96). The decision was sensitive to changes in the probabilities of occurrence of recurrent pericoronitis (threshold = 0.52), resorption of an adjacent tooth (threshold = 0.29), loss of an adjacent tooth (threshold = 0.32), and cystic change (threshold = 0.34). These thresholds are much higher than the incidence of problems affecting the lower third molar shown by a concurrent clinical audit and literature review. This study therefore suggests that lower third molars should not be removed prophylactically.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:status |
MEDLINE
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pubmed:issn |
0272-989X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
15
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
143-51
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pubmed:dateRevised |
2005-11-16
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pubmed:meshHeading |
pubmed-meshheading:7783575-Decision Trees,
pubmed-meshheading:7783575-Health Status,
pubmed-meshheading:7783575-Humans,
pubmed-meshheading:7783575-Medical Audit,
pubmed-meshheading:7783575-Molar, Third,
pubmed-meshheading:7783575-Patient Care Planning,
pubmed-meshheading:7783575-Postoperative Complications,
pubmed-meshheading:7783575-Primary Prevention,
pubmed-meshheading:7783575-Treatment Outcome,
pubmed-meshheading:7783575-Utilization Review
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pubmed:articleTitle |
Decision analysis for lower-third-molar surgery.
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pubmed:affiliation |
Department of Oral Surgery, Medicine and Pathology, University of Wales College of Medicine, Heath Park, Cardiff, United Kingdom.
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pubmed:publicationType |
Journal Article,
Review
|