Preserving natural teeth versus extracting them: a willingness to pay analysis
Abstract Background Maximum willingness to pay (WTP) for a health benefit is related to perceived value. The goal of this study was to find out how much Iranian healthy people would be willing to pay to keep their natural teeth instead of having them pulled. This was done separately for the anterior...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2022-09-01
|
| Series: | BMC Oral Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12903-022-02404-x |
| _version_ | 1798003039064293376 |
|---|---|
| author | Sulmaz Ghahramani Nazanin Ziar Najmeh Moradi Kamran Bagheri Lankarani Mohammad Sayari |
| author_facet | Sulmaz Ghahramani Nazanin Ziar Najmeh Moradi Kamran Bagheri Lankarani Mohammad Sayari |
| author_sort | Sulmaz Ghahramani |
| collection | DOAJ |
| description | Abstract Background Maximum willingness to pay (WTP) for a health benefit is related to perceived value. The goal of this study was to find out how much Iranian healthy people would be willing to pay to keep their natural teeth instead of having them pulled. This was done separately for the anterior and posterior teeth. Methods The highest value was posed as an open-ended question in this cross-sectional analysis conducted in 2021. Four distinct scenarios for treating a tooth with a poor prognosis for natural tooth preservation versus extraction were offered. WTP for the preferred treatment option was asked for painful and painless anterior and posterior teeth separately. A two-stage hurdle approach was employed to determine factors influencing the WTP for a hopeless case. The level of significance was fixed at 0.05. Results Out of 795 individuals, 355 (44.7%) were male and 209 (26.3%) had poor self-stated dental health. Over 65% of those interviewed said they wanted to keep their teeth. The mean WTP was highest for dental preservation up to 94 USD and the lowest was for extraction without replacement 19 USD. The WTP for anterior tooth therapy was greater than the WTP for posterior dental care, regardless of treatment type or tooth discomfort. Participants with higher education, jobs, income-to-expenditure matching, older age, preference for the treatment in a private office, and female gender (except for WTP for a painful posterior tooth) were more likely to have a WTP of at least 1 USD. Conclusion The average WTP for treatment of teeth with a poor prognosis was lower than the average fee charged in dental facilities, and more than 65% of participants preferred to keep their teeth. Regardless of the treatment option or whether it was painful or not, WTP for anterior teeth treatment was higher than for posterior teeth. Generally, we found that sociodemographic factors influenced WTP decision-making the most. This study has practical implications for public oral health policymakers and insurance organizations. |
| first_indexed | 2024-04-11T12:01:41Z |
| format | Article |
| id | doaj.art-45237fc463d6427597cb171cb8b73aa6 |
| institution | Directory Open Access Journal |
| issn | 1472-6831 |
| language | English |
| last_indexed | 2024-04-11T12:01:41Z |
| publishDate | 2022-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Oral Health |
| spelling | doaj.art-45237fc463d6427597cb171cb8b73aa62022-12-22T04:24:50ZengBMCBMC Oral Health1472-68312022-09-0122111110.1186/s12903-022-02404-xPreserving natural teeth versus extracting them: a willingness to pay analysisSulmaz Ghahramani0Nazanin Ziar1Najmeh Moradi2Kamran Bagheri Lankarani3Mohammad Sayari4Health Policy Research Center, Institute of Health, Shiraz University of Medical SciencesHealth Policy Research Center, Institute of Health, Shiraz University of Medical SciencesHealth Management and Economics Research Center, Health Management Institute, Iran University of Medical SciencesHealth Policy Research Center, Institute of Health, Shiraz University of Medical SciencesHealth Policy Research Center, Institute of Health, Shiraz University of Medical SciencesAbstract Background Maximum willingness to pay (WTP) for a health benefit is related to perceived value. The goal of this study was to find out how much Iranian healthy people would be willing to pay to keep their natural teeth instead of having them pulled. This was done separately for the anterior and posterior teeth. Methods The highest value was posed as an open-ended question in this cross-sectional analysis conducted in 2021. Four distinct scenarios for treating a tooth with a poor prognosis for natural tooth preservation versus extraction were offered. WTP for the preferred treatment option was asked for painful and painless anterior and posterior teeth separately. A two-stage hurdle approach was employed to determine factors influencing the WTP for a hopeless case. The level of significance was fixed at 0.05. Results Out of 795 individuals, 355 (44.7%) were male and 209 (26.3%) had poor self-stated dental health. Over 65% of those interviewed said they wanted to keep their teeth. The mean WTP was highest for dental preservation up to 94 USD and the lowest was for extraction without replacement 19 USD. The WTP for anterior tooth therapy was greater than the WTP for posterior dental care, regardless of treatment type or tooth discomfort. Participants with higher education, jobs, income-to-expenditure matching, older age, preference for the treatment in a private office, and female gender (except for WTP for a painful posterior tooth) were more likely to have a WTP of at least 1 USD. Conclusion The average WTP for treatment of teeth with a poor prognosis was lower than the average fee charged in dental facilities, and more than 65% of participants preferred to keep their teeth. Regardless of the treatment option or whether it was painful or not, WTP for anterior teeth treatment was higher than for posterior teeth. Generally, we found that sociodemographic factors influenced WTP decision-making the most. This study has practical implications for public oral health policymakers and insurance organizations.https://doi.org/10.1186/s12903-022-02404-xToothPreservationExtractionWillingness to pay analysisIran |
| spellingShingle | Sulmaz Ghahramani Nazanin Ziar Najmeh Moradi Kamran Bagheri Lankarani Mohammad Sayari Preserving natural teeth versus extracting them: a willingness to pay analysis BMC Oral Health Tooth Preservation Extraction Willingness to pay analysis Iran |
| title | Preserving natural teeth versus extracting them: a willingness to pay analysis |
| title_full | Preserving natural teeth versus extracting them: a willingness to pay analysis |
| title_fullStr | Preserving natural teeth versus extracting them: a willingness to pay analysis |
| title_full_unstemmed | Preserving natural teeth versus extracting them: a willingness to pay analysis |
| title_short | Preserving natural teeth versus extracting them: a willingness to pay analysis |
| title_sort | preserving natural teeth versus extracting them a willingness to pay analysis |
| topic | Tooth Preservation Extraction Willingness to pay analysis Iran |
| url | https://doi.org/10.1186/s12903-022-02404-x |
| work_keys_str_mv | AT sulmazghahramani preservingnaturalteethversusextractingthemawillingnesstopayanalysis AT nazaninziar preservingnaturalteethversusextractingthemawillingnesstopayanalysis AT najmehmoradi preservingnaturalteethversusextractingthemawillingnesstopayanalysis AT kamranbagherilankarani preservingnaturalteethversusextractingthemawillingnesstopayanalysis AT mohammadsayari preservingnaturalteethversusextractingthemawillingnesstopayanalysis |