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Healthcare is an expensive endeavour, and it is likely that costs for endodontic treatment will grow over the next decade. The present review aims to introduce the main concepts of health economic analysis, systematically review the existing economic endodontic literature, and deduce further action for the community. The general sparsity of economic analyses is on concern, as decision-makers such as commissioners or those funding dental care increasingly rely on them. The endodontic community is called to action to improve the competency of both researchers to conduct such analyses and consider them when planning research and clinicians who should factor in health economics when assigning interventions. Health economics should become an accepted pillar of endodontic examination.
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