A Cost Analysis of Three Pharmacologic Behavior Guidance Modalities in Pediatric Dentistry

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  • February 27, 2019
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  • Green, Lauren
    • Affiliation: Gillings School of Global Public Health, Department of Health Policy and Management
Abstract
  • Purpose: To compare dental treatment costs for three pharmacologic behavior guidance modalities—dental office-based moderate sedation (SED), hospital-based general anesthesia (GA-H), and dental office-based general anesthesia (GA-OFF).Methods: Data were collected for healthy children ages 2-6 who had full mouth rehabilitation using GA-H at the UNC Children’s Hospital. Patients served as their own controls to compare costs across the three modalities. Rendered treatments were quantified using Relative Value Units (RVUs). Costs included opportunity costs and administrative data. We relied upon Ordinary Least Squares analyses to examine the relationship between total costs and RVUs.Results: Of 200 consecutive hospital records, 65 met inclusion criteria. The mean age was 4.4 (range 2-6; 41 ASA I, 24 ASA II). Dental treatment using GA-H averaged 1 hour 58 minutes (range 1:02-4:16) with a mean of 12 (range 6-20) teeth treated. GA-H costs were 4.1 times greater than GA-OFF costs (range 1.1-4.9), and 4.5 times SED costs (range 0.9-7.1); GA-OFF costs were 1.1 times SED costs (range 0.7-1.6).Conclusions: Treatment completed (RVUs) was correlated highest with costs for SED and least for GA-H. If more than four SED appointments are needed, GA-OFF may provide cost-savings; however, at no point does GA-H offer cost-savings.
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Rights statement
  • In Copyright
Advisor
  • Lee, Jessica Y.
Degree
  • Master of Public Health
Academic concentration
  • Health Policy Management
Degree granting institution
  • University of North Carolina at Chapel Hill
Graduation year
  • 2018
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  • 6235cbee-7e62-4335-96a6-60f7ce274159

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