A prognosis and cost-effectiveness systematic review of non-invasive treatments for root caries
Aim: to evaluate the prognosis of root caries treatment with non-invasive methods, as well as to compare non-invasive therapies as viable alternatives for clinicians, indicating their cost-effectiveness. Literature review: Data collected were number of active lesions at baseline(BL) and in the last...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Universidade Federal do Rio Grande do Sul. Faculdade de Odontologia
2023-07-01
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| Series: | Revista da Faculdade de Odontologia de Porto Alegre |
| Subjects: | |
| Online Access: | https://seer.ufrgs.br/index.php/RevistadaFaculdadeOdontologia/article/view/130357 |
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| author | Fábio Luiz de Resende Cussi Déborah Lousan do Nascimento Poubel Adriano de Almeida de Lima Ana Claudia Morais Godoy Figueiredo Cristine Miron Stefani Fernanda Cristina Pimentel Garcia Nailê Damé-Teixeira |
| author_facet | Fábio Luiz de Resende Cussi Déborah Lousan do Nascimento Poubel Adriano de Almeida de Lima Ana Claudia Morais Godoy Figueiredo Cristine Miron Stefani Fernanda Cristina Pimentel Garcia Nailê Damé-Teixeira |
| author_sort | Fábio Luiz de Resende Cussi |
| collection | DOAJ |
| description | Aim: to evaluate the prognosis of root caries treatment with non-invasive methods, as well as to compare non-invasive therapies as viable alternatives for clinicians, indicating their cost-effectiveness. Literature review: Data collected were number of active lesions at baseline(BL) and in the last clinical assessment after follow-up(FL), and the follow-up period in months(P). The outcome was the monthly progression rate of the lesions that was calculated by (FL–BL)/P. A negative progression rate means the arrestment of the lesions. A cost-effectiveness rate was calculated. Results: From 596 titles retrieved in the search, 8 studies were included in a qualitative synthesis after assessed for eligibility. The monthly progression rate of lesions of home-based treatments (toothpastes, mouth rinses, supplemented milk intake) was an average of -0.79 (-3.68 to 2.3), while the office-based treatments (varnish, topic solutions) was 0.07 (-0.01 to 0.51), suggesting a better prognosis of the home-based treatments. The lowest monthly progression rate was -3.97 (toothpaste 5000ppm/F) while the highest was 2.31 (conventional toothpaste). The cost-effectiveness rate was better for treatments with toothpastes with 5000ppm/F (BRL21.78) when compared to mouthwashes (BRL579.47). Discussion: A better prognosis was found for toothpastes with a high fluoride concentration (5000ppm/F) compared to other therapies, as well as a better cost-effectiveness when compared to mouthwashes. Conclusion: Home-based therapies represented the highest rates of good prognosis for treating root caries lesions within the available scientific evidence. Although 5000ppm/F toothpastes have a very high cost for the Brazilian market, this treatment presented the highest cost-effectiveness when compared to mouthrinses (PROSPERO:CRD42019136035). |
| first_indexed | 2024-03-08T00:24:36Z |
| format | Article |
| id | doaj.art-2452e8b333284a1bba9f42cfbcb20dba |
| institution | Directory Open Access Journal |
| issn | 0566-1854 2177-0018 |
| language | English |
| last_indexed | 2024-03-08T00:24:36Z |
| publishDate | 2023-07-01 |
| publisher | Universidade Federal do Rio Grande do Sul. Faculdade de Odontologia |
| record_format | Article |
| series | Revista da Faculdade de Odontologia de Porto Alegre |
| spelling | doaj.art-2452e8b333284a1bba9f42cfbcb20dba2024-02-15T19:41:16ZengUniversidade Federal do Rio Grande do Sul. Faculdade de OdontologiaRevista da Faculdade de Odontologia de Porto Alegre0566-18542177-00182023-07-0164e130357e13035710.22456/2177-0018.130357110397A prognosis and cost-effectiveness systematic review of non-invasive treatments for root cariesFábio Luiz de Resende Cussihttps://orcid.org/0000-0001-9747-8753Déborah Lousan do Nascimento Poubelhttps://orcid.org/0000-0002-7560-7320Adriano de Almeida de Limahttps://orcid.org/0000-0002-4125-6980Ana Claudia Morais Godoy FigueiredoCristine Miron Stefanihttps://orcid.org/0000-0003-4712-9779Fernanda Cristina Pimentel Garciahttps://orcid.org/0000-0002-3709-1212Nailê Damé-Teixeirahttps://orcid.org/0000-0002-0490-0036Aim: to evaluate the prognosis of root caries treatment with non-invasive methods, as well as to compare non-invasive therapies as viable alternatives for clinicians, indicating their cost-effectiveness. Literature review: Data collected were number of active lesions at baseline(BL) and in the last clinical assessment after follow-up(FL), and the follow-up period in months(P). The outcome was the monthly progression rate of the lesions that was calculated by (FL–BL)/P. A negative progression rate means the arrestment of the lesions. A cost-effectiveness rate was calculated. Results: From 596 titles retrieved in the search, 8 studies were included in a qualitative synthesis after assessed for eligibility. The monthly progression rate of lesions of home-based treatments (toothpastes, mouth rinses, supplemented milk intake) was an average of -0.79 (-3.68 to 2.3), while the office-based treatments (varnish, topic solutions) was 0.07 (-0.01 to 0.51), suggesting a better prognosis of the home-based treatments. The lowest monthly progression rate was -3.97 (toothpaste 5000ppm/F) while the highest was 2.31 (conventional toothpaste). The cost-effectiveness rate was better for treatments with toothpastes with 5000ppm/F (BRL21.78) when compared to mouthwashes (BRL579.47). Discussion: A better prognosis was found for toothpastes with a high fluoride concentration (5000ppm/F) compared to other therapies, as well as a better cost-effectiveness when compared to mouthwashes. Conclusion: Home-based therapies represented the highest rates of good prognosis for treating root caries lesions within the available scientific evidence. Although 5000ppm/F toothpastes have a very high cost for the Brazilian market, this treatment presented the highest cost-effectiveness when compared to mouthrinses (PROSPERO:CRD42019136035).https://seer.ufrgs.br/index.php/RevistadaFaculdadeOdontologia/article/view/130357root cariesfluorides, topicalcost-benefit analysis |
| spellingShingle | Fábio Luiz de Resende Cussi Déborah Lousan do Nascimento Poubel Adriano de Almeida de Lima Ana Claudia Morais Godoy Figueiredo Cristine Miron Stefani Fernanda Cristina Pimentel Garcia Nailê Damé-Teixeira A prognosis and cost-effectiveness systematic review of non-invasive treatments for root caries Revista da Faculdade de Odontologia de Porto Alegre root caries fluorides, topical cost-benefit analysis |
| title | A prognosis and cost-effectiveness systematic review of non-invasive treatments for root caries |
| title_full | A prognosis and cost-effectiveness systematic review of non-invasive treatments for root caries |
| title_fullStr | A prognosis and cost-effectiveness systematic review of non-invasive treatments for root caries |
| title_full_unstemmed | A prognosis and cost-effectiveness systematic review of non-invasive treatments for root caries |
| title_short | A prognosis and cost-effectiveness systematic review of non-invasive treatments for root caries |
| title_sort | prognosis and cost effectiveness systematic review of non invasive treatments for root caries |
| topic | root caries fluorides, topical cost-benefit analysis |
| url | https://seer.ufrgs.br/index.php/RevistadaFaculdadeOdontologia/article/view/130357 |
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