Economic evaluation in oral health: rehabilitation of a single prosthetic space

Authors

DOI:

https://doi.org/10.33448/rsd-v9i12.11076

Keywords:

Costs and cost analysis; Cost-benefit analysis; Efficiency; Health care economics and organizations; Oral health.

Abstract

Objective: To evaluate the allocative efficiency, financial impact, and cost-effectiveness of rehabilitation of a single tooth by means of a 3-unit fixed dental prosthesis and of a dental implant from the perspective of the Commercial Social Service - SESC (“Serviço Social do Comércio”). Methods: An economic analysis of the cost-effectiveness type was designed. A Markov model was developed to capture long-term clinical and economic outcomes considering the temporal horizon of 25 years. Results: Within this temporal horizon it would be possible to perform 308 more procedures with a saving of R$ 351,737.49, if rehabilitation by means of the one-unit implant were chosen. Conclusion: The implant technique with an implant and an implant-supported prosthesis was dominant; that is, it had lower cost and higher effectiveness and its allocative efficiency allowed a much higher number of persons to have access to treatment.

References

Antunes, J. L. F., Toporcov, T. N., Bastos, J. L., Frazão, P., Narvai, P. C., & Peres, M. A. (2016). Oral health in the agenda of priorities in public health. Revista de Saúde Pública, 50(0), 1–9. https://doi.org/10.1590/S1518-8787.2016050007093

Brägger, U., Krenander, P., & Lang, N. P. (2005). Economic aspects of single-tooth replacement. Clinical Oral Implants Research, 16(3), 335–341. https://doi.org/10.1111/j.1600-0501.2005.01112.x

Brasil. (2014). Ministério da Saúde (BR), Secretaria da Ciência, Tecnologia e Insumos Estratégicos, Departamento de Ciência e Tecnologia. Diretrizes metodológicas: diretriz de avaliação econômica [Internet]. (2nd ed.), Brasília: Ministério da Saúde; Disponível em http://bvsms.saude.gov.br/bvs/ct/PDF/dirtrizes_de_avaliacao_economica.pdf

Elani, H. W., Harper, S., Thomson, W. M., Espinoza, I. L., Mejia, G. C., Ju, X., Jamieson, L. M., Kawachi, I., & Kaufman, J. S. (2017). Social inequalities in tooth loss: A multinational comparison. Community Dentistry and Oral Epidemiology, 45(3), 266–274. https://doi.org/10.1111/cdoe.12285

Haikal, D. S., Batista de Paula, A. M., Martins, A. M. E. de B. L., Moreira, A. N., & Ferreira e Ferreira, E. (2011). Autopercepção da saúde bucal e impacto na qualidade de vida do idoso: uma abordagem quanti-qualitativa. Cien Saude Colet, 16(7), 3317–3329. https://doi.org/10.1590/S1413-81232011000800031

Kassebaum, N. J., Bernabé, E., Dahiya, M., Bhandari, B., Murray, C. J. L., & Marcenes, W. (2014). Global burden of severe periodontitis in 1990-2010: A systematic review and meta-regression. Journal of Dental Research, 93(11), 1045–1053. https://doi.org/10.1177/0022034514552491

Kassebaum, N. J., Bernabé, E., Dahiya, M., Bhandari, B., Murray, C. J. L., & Marcenes, W. (2015). Global burden of untreated caries: A systematic review and metaregression. Journal of Dental Research, 94(5), 650–658. https://doi.org/10.1177/0022034515573272

Mathur, M., Singh, A., & Watt, R. (2015). Addressing inequalities in oral health in India: Need for skill mix in the dental workforce. Journal of Family Medicine and Primary Care, 4(2), 200. https://doi.org/10.4103/2249-4863.154632

Peres, M. A., Macpherson, L. M. D., Weyant, R. J., Daly, B., Venturelli, R., Mathur, M. R., Listl, S., Celeste, R. K., Guarnizo-Herreño, C. C., Kearns, C., Benzian, H., Allison, P., & Watt, R. G. (2019). Oral diseases: a global public health challenge. The Lancet, 394(10194), 249–260. https://doi.org/10.1016/S0140-6736(19)31146-8

Zitzmann, N. U., Krastl, G., Weiger, R., Kühl, S., & Sendi, P. (2013). Cost-effectiveness of anterior implants versus fixed dental prostheses. Journal of Dental Research, 92(12), 183–188. https://doi.org/10.1177/0022034513504927

Downloads

Published

20/12/2020

How to Cite

QUEIROZ, F. H. V. .; PROBST, L. F. .; MOTA, A. H. G. .; FONSECA, V. A. de O. .; CAVALCANTE, D. de F. B. .; PEREIRA, A. C. . Economic evaluation in oral health: rehabilitation of a single prosthetic space. Research, Society and Development, [S. l.], v. 9, n. 12, p. e22591211076, 2020. DOI: 10.33448/rsd-v9i12.11076. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/11076. Acesso em: 26 nov. 2024.

Issue

Vol. 9 No. 12

Section

Health Sciences

License

Copyright (c) 2020 Flavio Henrique Vieira Queiroz; Livia Fernandes Probst; Aline Hohmann Gagliardi Mota; Vitor Augusto de Oliveira Fonseca; Denise de Fátima Barros Cavalcante; Antonio Carlos Pereira

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors who publish with this journal agree to the following terms:

1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.