Cost‐effectiveness of root canal treatment compared with tooth extraction in a Swedish Public Dental Service: A prospective controlled cohort study
Abstract Objectives To evaluate the cost‐effectiveness of root canal treatment (RCT) compared with a tooth extraction in a general dental practice setting, with reference to cost per quality‐adjusted life‐year (QALY) gained over 1 year. Material and Methods This is a prospective controlled cohort st...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-08-01
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| Series: | Clinical and Experimental Dental Research |
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| Online Access: | https://doi.org/10.1002/cre2.759 |
| _version_ | 1797739900090449920 |
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| author | Emma Wigsten Thomas Kvist Magnus Husberg EndoReCo Thomas Davidson |
| author_facet | Emma Wigsten Thomas Kvist Magnus Husberg EndoReCo Thomas Davidson |
| author_sort | Emma Wigsten |
| collection | DOAJ |
| description | Abstract Objectives To evaluate the cost‐effectiveness of root canal treatment (RCT) compared with a tooth extraction in a general dental practice setting, with reference to cost per quality‐adjusted life‐year (QALY) gained over 1 year. Material and Methods This is a prospective controlled cohort study based on patients either starting RCT or undergoing extraction at one of six Public Dental Service clinics in the county of Västra Götaland, Sweden. From a total of 65 patients, 2 comparable groups were formed: 37 started RCT and 28 underwent extraction. A societal perspective was used for the cost calculations. QALYs were estimated, based on the EQ‐5D‐5L given to the patients at their first treatment appointment and then after 1, 6, and 12 months. Results The total mean cost of RCT ($689.1) was higher than for extraction ($280.1). For those patients whose extracted tooth was replaced, the costs were even higher ($1245.5). There were no significant intergroup differences in QALYs, but a significant improvement in health state values in the tooth‐preserving group. Conclusions In the short term, extraction was cost‐effective compared with preserving a tooth with RCT. However, the potential need for future replacement of the extracted tooth, by an implant, fixed prosthesis, or removable partial dentures, may change the calculation in favor of RCT. |
| first_indexed | 2024-03-12T14:04:49Z |
| format | Article |
| id | doaj.art-7ace5b5a3ab2486daa999ddee8cbd64c |
| institution | Directory Open Access Journal |
| issn | 2057-4347 |
| language | English |
| last_indexed | 2024-03-12T14:04:49Z |
| publishDate | 2023-08-01 |
| publisher | Wiley |
| record_format | Article |
| series | Clinical and Experimental Dental Research |
| spelling | doaj.art-7ace5b5a3ab2486daa999ddee8cbd64c2023-08-21T15:34:09ZengWileyClinical and Experimental Dental Research2057-43472023-08-019466166910.1002/cre2.759Cost‐effectiveness of root canal treatment compared with tooth extraction in a Swedish Public Dental Service: A prospective controlled cohort studyEmma Wigsten0Thomas Kvist1Magnus Husberg2EndoReCoThomas Davidson3Department of Endodontology, Institute of Odontology, The Sahlgrenska Academy University of Gothenburg Gothenburg SwedenDepartment of Endodontology, Institute of Odontology, The Sahlgrenska Academy University of Gothenburg Gothenburg SwedenDepartment of Health, Medicine and Caring Sciences Linköping University Linköping SwedenDepartment of Health, Medicine and Caring Sciences Linköping University Linköping SwedenAbstract Objectives To evaluate the cost‐effectiveness of root canal treatment (RCT) compared with a tooth extraction in a general dental practice setting, with reference to cost per quality‐adjusted life‐year (QALY) gained over 1 year. Material and Methods This is a prospective controlled cohort study based on patients either starting RCT or undergoing extraction at one of six Public Dental Service clinics in the county of Västra Götaland, Sweden. From a total of 65 patients, 2 comparable groups were formed: 37 started RCT and 28 underwent extraction. A societal perspective was used for the cost calculations. QALYs were estimated, based on the EQ‐5D‐5L given to the patients at their first treatment appointment and then after 1, 6, and 12 months. Results The total mean cost of RCT ($689.1) was higher than for extraction ($280.1). For those patients whose extracted tooth was replaced, the costs were even higher ($1245.5). There were no significant intergroup differences in QALYs, but a significant improvement in health state values in the tooth‐preserving group. Conclusions In the short term, extraction was cost‐effective compared with preserving a tooth with RCT. However, the potential need for future replacement of the extracted tooth, by an implant, fixed prosthesis, or removable partial dentures, may change the calculation in favor of RCT.https://doi.org/10.1002/cre2.759cost‐effectiveness analysisEQ‐5D‐5Lpatient‐reported outcome measuresquality‐adjusted life years |
| spellingShingle | Emma Wigsten Thomas Kvist Magnus Husberg EndoReCo Thomas Davidson Cost‐effectiveness of root canal treatment compared with tooth extraction in a Swedish Public Dental Service: A prospective controlled cohort study Clinical and Experimental Dental Research cost‐effectiveness analysis EQ‐5D‐5L patient‐reported outcome measures quality‐adjusted life years |
| title | Cost‐effectiveness of root canal treatment compared with tooth extraction in a Swedish Public Dental Service: A prospective controlled cohort study |
| title_full | Cost‐effectiveness of root canal treatment compared with tooth extraction in a Swedish Public Dental Service: A prospective controlled cohort study |
| title_fullStr | Cost‐effectiveness of root canal treatment compared with tooth extraction in a Swedish Public Dental Service: A prospective controlled cohort study |
| title_full_unstemmed | Cost‐effectiveness of root canal treatment compared with tooth extraction in a Swedish Public Dental Service: A prospective controlled cohort study |
| title_short | Cost‐effectiveness of root canal treatment compared with tooth extraction in a Swedish Public Dental Service: A prospective controlled cohort study |
| title_sort | cost effectiveness of root canal treatment compared with tooth extraction in a swedish public dental service a prospective controlled cohort study |
| topic | cost‐effectiveness analysis EQ‐5D‐5L patient‐reported outcome measures quality‐adjusted life years |
| url | https://doi.org/10.1002/cre2.759 |
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