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Cost-effectiveness of pulp capping and root canal treatment of young permanent teeth
Malmo Univ, Sweden; Swedish Publ Dent Serv, Sweden.
Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för hälso- och sjukvårdsanalys. Linköpings universitet, Medicinska fakulteten.
Malmo Univ, Sweden.
2019 (Engelska)Ingår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 77, nr 4, s. 275-281Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Objective: To contribute with information on cost-effectiveness of pulp capping and root canal treatment of posterior permanent vital teeth in children and adolescents with pulp exposures due to caries. Material and methods: Cost-effectiveness by means of a Markov simulation model was studied in a Scandinavian setting. In a simulated 12-year-old patient, treatment of pulpal exposure of a permanent tooth, either by the initial treatment pulp capping or root canal treatment, was followed for 9 years until the patient was 21. The model was based on outcome data obtained from published literature and cost data based on reference prices. Results: In the simulated case, with the annual failure probalility (AFP) of 0.034 for pulp capping, the total cost for an initial treatment with pulp capping and any anticipated following treatments during the 9 years, was 367 EUR lower than for a root canal treatment as the initial treatment. After an initial treatment with pulp capping 10.4% fewer teeth, compared with initial root canal treatment, were anticipated to be extracted. Pulp capping was thus considered to be the cost-effective alternative. The sensitivity analyses showed that the AFP of a tooth requiring a root canal treatment after an initial pulp capping needed to be 0.2 before root canal treatment may be considered being the cost-effective treatment. Conclusions: This model analysis indicated initial treatment by pulp capping to be cost-effective compared to root canal treatment in children and adolescents with pulp exposures due to caries.

Ort, förlag, år, upplaga, sidor
TAYLOR & FRANCIS LTD , 2019. Vol. 77, nr 4, s. 275-281
Nyckelord [en]
Pulp capping; pulpectomy; cost-effectiveness; pulp exposure; vital pulp therapy
Nationell ämneskategori
Odontologi
Identifikatorer
URN: urn:nbn:se:liu:diva-156898DOI: 10.1080/00016357.2018.1538536ISI: 000465152500006PubMedID: 30767592OAI: oai:DiVA.org:liu-156898DiVA, id: diva2:1318809
Anmärkning

Funding Agencies|OFRS, Dental Research in Region Skane; Swedish Public Dental Service in the city of Uppsala, Sweden

Tillgänglig från: 2019-05-28 Skapad: 2019-05-28 Senast uppdaterad: 2019-05-28

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Davidson, Thomas
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Avdelningen för hälso- och sjukvårdsanalysMedicinska fakulteten
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