Image and surgery-related costs comparing cone beam CT and panoramic imaging before removal of impacted mandibular third molars

Lars Bo Petersen; Kim Rose  Olsen; Jennifer Heather Christensen; A Wenzel

doi:10.1259/dmfr.20140001

Image and surgery-related costs comparing cone beam CT and panoramic imaging before removal of impacted mandibular third molars

Lars Bo Petersen, Kim Rose Olsen, Jennifer Heather Christensen, A Wenzel

Department of Dentistry and Oral Health - Section for Oral Radiology and Endodontics

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

Abstract

OBJECTIVES: The aim of this prospective clinical study was to derive the absolute and relative costs of cone beam CT (CBCT) and panoramic imaging before removal of an impacted mandibular third molar. Furthermore, the study aimed to analyse the influence of different cost-setting scenarios on the outcome of the absolute and relative costs and the incremental costs related to surgery.

METHODS: A randomized clinical trial compared complications following surgical removal of a mandibular third molar, where the pre-operative diagnostic method had been panoramic imaging or CBCT. The resources implied in the two methods were measured with health economic tools. The primary outcome was total costs defined as the sum of absolute imaging costs and incremental surgery-related costs. The basic variables were capital costs, operational costs, radiological costs, radiographic costs, overheads and patient resource utilization. Differences in resources used for surgical and post-surgical management were calculated for each patient.

RESULTS: Converted to monetary units, the total costs for panoramic imaging equalized €49.29 and for CBCT examination €184.44. Modifying effects on this outcome such as differences in surgery time, treatment time for complications, pre- and post-surgical medication, sickness absence, specialist treatment and hospitalization were not statistically significant between the two diagnostic method groups.

CONCLUSIONS: Costs for a CBCT examination were approximately four times the costs for panoramic imaging when used prior to removal of a mandibular third molar. The use of CBCT did not change the resources used for surgery, post-surgical treatment and patient complication management.

Original language	English
Article number	20140001
Journal	Dentomaxillofacial Radiology
Volume	43
Issue	6
Number of pages	7
ISSN	0250-832X
DOIs	https://doi.org/10.1259/dmfr.20140001
Publication status	Published - 2014

Keywords

Absenteeism
Adolescent
Adult
Aged
Capital Expenditures
Cone-Beam Computed Tomography
Cost of Illness
Drug Costs
Female
Health Care Costs
Hospitalization
Humans
Male
Mandible
Middle Aged
Molar, Third
Operative Time
Postoperative Complications
Prospective Studies
Radiography, Panoramic
Specialties, Dental
Tooth Extraction
Tooth, Impacted
Young Adult

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10.1259/dmfr.20140001

Cite this

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title = "Image and surgery-related costs comparing cone beam CT and panoramic imaging before removal of impacted mandibular third molars",

abstract = "OBJECTIVES: The aim of this prospective clinical study was to derive the absolute and relative costs of cone beam CT (CBCT) and panoramic imaging before removal of an impacted mandibular third molar. Furthermore, the study aimed to analyse the influence of different cost-setting scenarios on the outcome of the absolute and relative costs and the incremental costs related to surgery.METHODS: A randomized clinical trial compared complications following surgical removal of a mandibular third molar, where the pre-operative diagnostic method had been panoramic imaging or CBCT. The resources implied in the two methods were measured with health economic tools. The primary outcome was total costs defined as the sum of absolute imaging costs and incremental surgery-related costs. The basic variables were capital costs, operational costs, radiological costs, radiographic costs, overheads and patient resource utilization. Differences in resources used for surgical and post-surgical management were calculated for each patient.RESULTS: Converted to monetary units, the total costs for panoramic imaging equalized €49.29 and for CBCT examination €184.44. Modifying effects on this outcome such as differences in surgery time, treatment time for complications, pre- and post-surgical medication, sickness absence, specialist treatment and hospitalization were not statistically significant between the two diagnostic method groups.CONCLUSIONS: Costs for a CBCT examination were approximately four times the costs for panoramic imaging when used prior to removal of a mandibular third molar. The use of CBCT did not change the resources used for surgery, post-surgical treatment and patient complication management.",

keywords = "Absenteeism, Adolescent, Adult, Aged, Capital Expenditures, Cone-Beam Computed Tomography, Cost of Illness, Drug Costs, Female, Health Care Costs, Hospitalization, Humans, Male, Mandible, Middle Aged, Molar, Third, Operative Time, Postoperative Complications, Prospective Studies, Radiography, Panoramic, Specialties, Dental, Tooth Extraction, Tooth, Impacted, Young Adult",

author = "Petersen, {Lars Bo} and Olsen, {Kim Rose} and Christensen, {Jennifer Heather} and A Wenzel",

year = "2014",

doi = "10.1259/dmfr.20140001",

language = "English",

volume = "43",

journal = "Dentomaxillofacial Radiology",

issn = "0250-832X",

publisher = "British Institute of Radiology",

number = "6",

}

Image and surgery-related costs comparing cone beam CT and panoramic imaging before removal of impacted mandibular third molars. / Petersen, Lars Bo; Olsen, Kim Rose ; Christensen, Jennifer Heather et al.
In: Dentomaxillofacial Radiology, Vol. 43, No. 6, 20140001, 2014.

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

TY - JOUR

T1 - Image and surgery-related costs comparing cone beam CT and panoramic imaging before removal of impacted mandibular third molars

AU - Petersen, Lars Bo

AU - Olsen, Kim Rose

AU - Christensen, Jennifer Heather

AU - Wenzel, A

PY - 2014

Y1 - 2014

N2 - OBJECTIVES: The aim of this prospective clinical study was to derive the absolute and relative costs of cone beam CT (CBCT) and panoramic imaging before removal of an impacted mandibular third molar. Furthermore, the study aimed to analyse the influence of different cost-setting scenarios on the outcome of the absolute and relative costs and the incremental costs related to surgery.METHODS: A randomized clinical trial compared complications following surgical removal of a mandibular third molar, where the pre-operative diagnostic method had been panoramic imaging or CBCT. The resources implied in the two methods were measured with health economic tools. The primary outcome was total costs defined as the sum of absolute imaging costs and incremental surgery-related costs. The basic variables were capital costs, operational costs, radiological costs, radiographic costs, overheads and patient resource utilization. Differences in resources used for surgical and post-surgical management were calculated for each patient.RESULTS: Converted to monetary units, the total costs for panoramic imaging equalized €49.29 and for CBCT examination €184.44. Modifying effects on this outcome such as differences in surgery time, treatment time for complications, pre- and post-surgical medication, sickness absence, specialist treatment and hospitalization were not statistically significant between the two diagnostic method groups.CONCLUSIONS: Costs for a CBCT examination were approximately four times the costs for panoramic imaging when used prior to removal of a mandibular third molar. The use of CBCT did not change the resources used for surgery, post-surgical treatment and patient complication management.

AB - OBJECTIVES: The aim of this prospective clinical study was to derive the absolute and relative costs of cone beam CT (CBCT) and panoramic imaging before removal of an impacted mandibular third molar. Furthermore, the study aimed to analyse the influence of different cost-setting scenarios on the outcome of the absolute and relative costs and the incremental costs related to surgery.METHODS: A randomized clinical trial compared complications following surgical removal of a mandibular third molar, where the pre-operative diagnostic method had been panoramic imaging or CBCT. The resources implied in the two methods were measured with health economic tools. The primary outcome was total costs defined as the sum of absolute imaging costs and incremental surgery-related costs. The basic variables were capital costs, operational costs, radiological costs, radiographic costs, overheads and patient resource utilization. Differences in resources used for surgical and post-surgical management were calculated for each patient.RESULTS: Converted to monetary units, the total costs for panoramic imaging equalized €49.29 and for CBCT examination €184.44. Modifying effects on this outcome such as differences in surgery time, treatment time for complications, pre- and post-surgical medication, sickness absence, specialist treatment and hospitalization were not statistically significant between the two diagnostic method groups.CONCLUSIONS: Costs for a CBCT examination were approximately four times the costs for panoramic imaging when used prior to removal of a mandibular third molar. The use of CBCT did not change the resources used for surgery, post-surgical treatment and patient complication management.

KW - Absenteeism

KW - Adolescent

KW - Adult

KW - Aged

KW - Capital Expenditures

KW - Cone-Beam Computed Tomography

KW - Cost of Illness

KW - Drug Costs

KW - Female

KW - Health Care Costs

KW - Hospitalization

KW - Humans

KW - Male

KW - Mandible

KW - Middle Aged

KW - Molar, Third

KW - Operative Time

KW - Postoperative Complications

KW - Prospective Studies

KW - Radiography, Panoramic

KW - Specialties, Dental

KW - Tooth Extraction

KW - Tooth, Impacted

KW - Young Adult

U2 - 10.1259/dmfr.20140001

DO - 10.1259/dmfr.20140001

M3 - Journal article

C2 - 24922557

SN - 0250-832X

VL - 43

JO - Dentomaxillofacial Radiology

JF - Dentomaxillofacial Radiology

IS - 6

M1 - 20140001

ER -

Image and surgery-related costs comparing cone beam CT and panoramic imaging before removal of impacted mandibular third molars

Abstract

Keywords

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