Cost-effectiveness of pulp capping and root canal treatment of young permanent teeth

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Cost-effectiveness of pulp capping and root canal treatment of young permanent teeth

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Publication Article, peer reviewed scientific
Title Cost-effectiveness of pulp capping and root canal treatment of young permanent teeth
Author Davidson, Thomas ; Fransson, Helena ; Brodén, Joséphine
Date 2019
English abstract
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.
DOI https://doi.org/10.1080/00016357.2018.1538536 (link to publisher's fulltext.)
Link https://www.tandfonline.com/doi/abs/10.1080/000163... (external link to publication)
Publisher Taylor & Francis
Host/Issue Acta odontologica Scandinavica;4
Volume 77
ISSN 1502-3850
Language eng (iso)
Subject Pulp capping
cost-effectiveness
pulp exposure
pulpectomy
vital pulp therapy
Medicine
Research Subject Categories::ODONTOLOGY
Handle http://hdl.handle.net/2043/28132 Permalink to this page
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