Economic analysis of the different endodontic instrumentation techniques used in the Unified Health System
Abstract Background To assess the financial impact of incorporating a new (reciprocal) technology into endodontic treatments in the public health system (SUS). Methods This was a economic evaluation study (comparing the 3 different endodontic instrumentation techniques—manual, rotary and reciprocati...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-08-01
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| Series: | BMC Oral Health |
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| Online Access: | https://doi.org/10.1186/s12903-022-02369-x |
| _version_ | 1798042547172409344 |
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| author | Laura Paredes Merchan Livia Fernandes Probst Ana Clara Correa Duarte Simões Augusto Cesar Santos Raimundo Yuri Wanderley Cavalcanti Denise de Fátima Barros Cavalcante João Victor Frazão Câmara Antonio Carlos Pereira |
| author_facet | Laura Paredes Merchan Livia Fernandes Probst Ana Clara Correa Duarte Simões Augusto Cesar Santos Raimundo Yuri Wanderley Cavalcanti Denise de Fátima Barros Cavalcante João Victor Frazão Câmara Antonio Carlos Pereira |
| author_sort | Laura Paredes Merchan |
| collection | DOAJ |
| description | Abstract Background To assess the financial impact of incorporating a new (reciprocal) technology into endodontic treatments in the public health system (SUS). Methods This was a economic evaluation study (comparing the 3 different endodontic instrumentation techniques—manual, rotary and reciprocating), allocative efficiency analysis to optimize existing resources in the SUS, and financial contribution impact analysis of incorporation of a new technology. Thirty-one (31) 12 years-old volunteers were evaluated. Results The incremental cost-effectiveness ratio (ICER) was calculated at R$1.34/min, − R$0.60/min and BRL 0.10/min for the single-rooted, bi-rooted and tri-rooted teeth, respectively, when the rotary technique was compared with the manual type. In turn, the ICER was R$ 21.04/min, − R$ 0.73/min and − R$ 2.81/min for the 3 types of teeth, respectively, when the reciprocating technique was compared with the manual type. The incremental financial impact of replacing manual endodontic with rotary endodontic treatments would be − R$ 2060963.66 in the case of single-rooted teeth, but the number of treatments would also be reduced (− 19,379). In the case of two-rooted teeth, the incremental financial impact would be BRL 34921540.62 with the possibility of performing an additional 204,110 treatments. In turn, BRL 11523561.50 represented the incremental financial impact for teeth with 3 or more roots and with an increase of 72,545 procedures. When we analyzed the incremental financial impact of replacing manual endodontic with reciprocating endodontic treatments, it would be − R$ 730227.80 in the case of single-rooted teeth, allowing for an additional 2538 treatments. In turn, R$ 21674853.00 represented the incremental financial impact for bi-radicular teeth, with an increase of 121,700 procedures. In the case of two-rooted teeth, the incremental financial impact would be BRL 13591742.90 with the possibility of performing an additional 40,670 treatments. Conclusions The reciprocating technique could improve access to endodontic treatment in the SUS as it allowed a simultaneous reduction in clinical time and associated costs. However, the higher number of endodontic treatments performed would have a financial impact. |
| first_indexed | 2024-04-11T22:36:58Z |
| format | Article |
| id | doaj.art-a53c1eb5e226444697d3497b64e17423 |
| institution | Directory Open Access Journal |
| issn | 1472-6831 |
| language | English |
| last_indexed | 2024-04-11T22:36:58Z |
| publishDate | 2022-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Oral Health |
| spelling | doaj.art-a53c1eb5e226444697d3497b64e174232022-12-22T03:59:11ZengBMCBMC Oral Health1472-68312022-08-0122111010.1186/s12903-022-02369-xEconomic analysis of the different endodontic instrumentation techniques used in the Unified Health SystemLaura Paredes Merchan0Livia Fernandes Probst1Ana Clara Correa Duarte Simões2Augusto Cesar Santos Raimundo3Yuri Wanderley Cavalcanti4Denise de Fátima Barros Cavalcante5João Victor Frazão Câmara6Antonio Carlos Pereira7Department of Public Health, Piracicaba Dental School, Universidade Estadual de Campinas - UNICAMPDepartment of Community Dentistry, Piracicaba Dental School, Universidade Estadual de Campinas - UNICAMPDepartment of Community Dentistry, Piracicaba Dental School, Universidade Estadual de Campinas - UNICAMPDepartment of Community Dentistry, Piracicaba Dental School, Universidade Estadual de Campinas - UNICAMPDepartment of Clinical and Social Dentistry, Federal University of ParaíbaDepartment of Public Health, Israelita Albert Einstein HospitalClinic of Operative Dentistry, Periodontology and Preventive Dentistry, Saarland University HospitalDepartment of Community Dentistry, Piracicaba Dental School, Universidade Estadual de Campinas - UNICAMPAbstract Background To assess the financial impact of incorporating a new (reciprocal) technology into endodontic treatments in the public health system (SUS). Methods This was a economic evaluation study (comparing the 3 different endodontic instrumentation techniques—manual, rotary and reciprocating), allocative efficiency analysis to optimize existing resources in the SUS, and financial contribution impact analysis of incorporation of a new technology. Thirty-one (31) 12 years-old volunteers were evaluated. Results The incremental cost-effectiveness ratio (ICER) was calculated at R$1.34/min, − R$0.60/min and BRL 0.10/min for the single-rooted, bi-rooted and tri-rooted teeth, respectively, when the rotary technique was compared with the manual type. In turn, the ICER was R$ 21.04/min, − R$ 0.73/min and − R$ 2.81/min for the 3 types of teeth, respectively, when the reciprocating technique was compared with the manual type. The incremental financial impact of replacing manual endodontic with rotary endodontic treatments would be − R$ 2060963.66 in the case of single-rooted teeth, but the number of treatments would also be reduced (− 19,379). In the case of two-rooted teeth, the incremental financial impact would be BRL 34921540.62 with the possibility of performing an additional 204,110 treatments. In turn, BRL 11523561.50 represented the incremental financial impact for teeth with 3 or more roots and with an increase of 72,545 procedures. When we analyzed the incremental financial impact of replacing manual endodontic with reciprocating endodontic treatments, it would be − R$ 730227.80 in the case of single-rooted teeth, allowing for an additional 2538 treatments. In turn, R$ 21674853.00 represented the incremental financial impact for bi-radicular teeth, with an increase of 121,700 procedures. In the case of two-rooted teeth, the incremental financial impact would be BRL 13591742.90 with the possibility of performing an additional 40,670 treatments. Conclusions The reciprocating technique could improve access to endodontic treatment in the SUS as it allowed a simultaneous reduction in clinical time and associated costs. However, the higher number of endodontic treatments performed would have a financial impact.https://doi.org/10.1186/s12903-022-02369-xEndodontic treatmentsHealth evaluationOral health |
| spellingShingle | Laura Paredes Merchan Livia Fernandes Probst Ana Clara Correa Duarte Simões Augusto Cesar Santos Raimundo Yuri Wanderley Cavalcanti Denise de Fátima Barros Cavalcante João Victor Frazão Câmara Antonio Carlos Pereira Economic analysis of the different endodontic instrumentation techniques used in the Unified Health System BMC Oral Health Endodontic treatments Health evaluation Oral health |
| title | Economic analysis of the different endodontic instrumentation techniques used in the Unified Health System |
| title_full | Economic analysis of the different endodontic instrumentation techniques used in the Unified Health System |
| title_fullStr | Economic analysis of the different endodontic instrumentation techniques used in the Unified Health System |
| title_full_unstemmed | Economic analysis of the different endodontic instrumentation techniques used in the Unified Health System |
| title_short | Economic analysis of the different endodontic instrumentation techniques used in the Unified Health System |
| title_sort | economic analysis of the different endodontic instrumentation techniques used in the unified health system |
| topic | Endodontic treatments Health evaluation Oral health |
| url | https://doi.org/10.1186/s12903-022-02369-x |
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