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Comparative analysis of general dental practitioners' fees and scheduled fees for root canal treatment and coronal restorations in the adult population of Sweden: a 5-year follow-up of data from the Swedish Dental Register

Journal article
Authors Emma Wigsten
Thomas Kvist
V. S. Dawson
P. E. Isberg
H. Fransson
Published in International Endodontic Journal
Volume 51
Issue 2
Pages 141-147
ISSN 0143-2885
Publication year 2018
Published at Institute of Odontology
Institute of Odontology, Section 1
Pages 141-147
Language en
Links dx.doi.org/10.1111/iej.12817
Keywords dental fees, endodontics, permanent dental restoration, registry, root canal therapy, tooth extraction, nonsurgical endodontic treatment, cost-effectiveness, periapical status, treated teeth, filled teeth, danish population, tooth extraction, outcomes, survival, fillings, Dentistry, Oral Surgery & Medicine
Subject categories Dentistry, Endodontology

Abstract

Aim To investigate the fees charged by Swedish dentists for root fillings, coronal restorations and further dental interventions during a follow-up period of 5-6 years. Methodology A total of 248299 root fillings were linked with the tooth, the patient and the provider and entered into the Swedish Social Insurance Agency register in 2009. The data register also recorded the subsidy-based (scheduled) fee and the fee actually charged for the root fillings. Fees charged for direct or indirect coronal restorations and additional interventions during the follow-up period were also recorded. One-way anova and t-test were used for statistical analysis. Results The mean overall fee charged for a root filling was approximately 332 Euro and differed only marginally (13 Euro) from the scheduled fee. The total mean fee for preservation of a root filled tooth was 717 Euro, which included the root canal treatment, the coronal restoration and any additional interventions during the follow-up period. The fees for indirectly restored root filled teeth were significantly higher (1105 Euro) than for directly restored teeth (610 Euro), despite further additional treatment (P < 0.001). The mean fee for teeth which were subsequently extracted was higher (769 Euro) than for the retained teeth (711 Euro) (P < 0.001). Conclusions Fees charged by Swedish dentists for root canal treatment were in accordance with the scheduled fees. The overall mean fee was significantly higher for root filled teeth with indirect restorations than for teeth with direct coronal restorations. However, prospective clinical cost-effectiveness studies are needed to analyse the total costs.

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Utskriftsdatum: 2019-11-22