Evaluation of therapeutic effect and health economics of general anesthesia and routine outpatient dental treatment in children with severe early child caries

doi:10.7518/hxkq.2021.06.012

Abstract

Abstract: Objective

To evaluate the efficacy and health economics of the comprehensive therapy for the children with severe early child caries (S-ECC) under dental general anesthesia (DGA) and conventional outpatient treatment to provide references for dentists and parents in the choice of clinical treatment.

Methods

A retrospective cohort study was conducted on S-ECC children aged 36-71 months and who received dental treatment under general anesthesia or routine outpatient situation. The filled tooth survival rate, treatment cost, and cost-filled tooth survival time of the two groups were compared, and the curative effect and health economics was evaluated.

Results

The filled tooth survival rate of the DGA group was higher than that of the routine outpatient group (P<0.05). The average direct medical cost per filled tooth was significantly higher in the DGA group than in the routine outpatient group (P<0.05). The direct medical cost-filled tooth survival time ratio in the DGA group was higher than that in the routine outpatient group (P<0.05), but no significant difference was observed in the total medical cost-filled tooth survival time ratio (P>0.05).

Conclusion

Compared with the conventional outpatient treatment group, the treatment outcomes of S-ECC under general anesthesia were better, and the costs were higher. However, no significant difference was observed in the total medical cost-filled tooth survival time between these two groups, and the conventional outpatient treatment did not have evident economic advantages.

Key words: severe early child caries, dental general anesthesia, survival analysis, cost, health economic

CLC Number:

R788

Liu Yaqi, Zhang Qiong, Wang Yan, Qu Xing, Zou Jing. Evaluation of therapeutic effect and health economics of general anesthesia and routine outpatient dental treatment in children with severe early child caries[J]. West China Journal of Stomatology, 2021, 39(6): 703-708.

Figures/Tables 4

Tab 1

Fig 1

Tab 2

Tab 3

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组别	性别（n/%）		年龄/月	dmft	观察时间/月
组别	男	女	年龄/月	dmft	观察时间/月
DGA组	24/47.1	27/52.9	52.43±10.64	15.67±3.12	46（42，52）
常规门诊组	23/48.9	24/51.1	54.57±9.42	14.57±3.17	52（45，54）

组别	乳前牙			乳磨牙
组别	治疗总数/颗	计划外再治疗牙数/颗	计划外再治疗发生率/%	治疗总数/颗	计划外再治疗牙数/颗	计划外再治疗发生率/%
DGA组	363	125	34.44	371	106	28.57
常规门诊组	124	38	30.65	332	196	59.04

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