Root Canal Treatment Versus Vital Pulp Therapy After Carious Exposure: A Cost-Effectiveness Analysis in the United States Healthcare System

reportActive / Technical Report | Accesssion Number: AD1182670 | Open PDF

Abstract:

This cost-effectiveness analysis compared root canal therapy (RCT), direct pulp cap (DPC), partial pulpotomy (PP) and full pulpotomy (FP) in the U.S. healthcare system. Methods: A decision tree was constructed for a simulated adult patient with a permanent, mature, cariously exposed, asymptomatic tooth. Transition probabilities were obtained from previously published literature. National average costs for each treatment were obtained from published dental fees survey. A Monte Carlo simulation served for analysis of the CEA. Results: Monte Carlo simulation found cost-effectiveness ratio of7.19, 29.53, 37.02 and 41.32 for FP, DPC, RCT and PP respectively. Conclusions: Our study found FP to be significantly more cost-effective than NSRCT, DPC and FP. More research is needed in assessing and defining parameters for future CEAs in endodontics and dentistry in general.

Author(s):
Burgos, Jose R.
Author Organization(s):
UNIFORMED SERVICES UNIV OF THE HEALTH SCIENCES BETHESDA MD
Funding Organization(s):
UNIFORMED SERVICES UNIV OF THE HEALTH SCIENCES BETHESDA MD, BETHESDA , MD
Document Type:
Technical Report/Master's Thesis
Publication Date:
2020 Jun 30
Pagination:
25

Security Markings

DOCUMENT & CONTEXTUAL SUMMARY

Distribution Code:
A - Approved For Public Release
Distribution Statement: Public Release

RECORD

Collection: TRECMS
Subject Terms
Communities of Interest:
No COI(s) Identified
Descriptor(s):
united states, delivery of health care, teeth, monte carlo method, probability, computer programs, cost effectiveness, root canal, simulations, calcium hydroxide, dentistry, surveys, composite materials, governments, materials, medical personnel, universities
Keyword(s):
vital pulp therapy, endodontics, root canal therapy
Subject Categories:
Biological and Medical Sciences; Biological and Medical Sciences
Creation Date:
2022 Oct 18
Update Date:
2022 Dec 20