Evidence map›Paper›PMID 37607274›Full record

ArticleEuropean journal of orthodontics2023

Costs and duration of orthodontic-surgical treatment with mandibular advancement surgery.

Pekka Niemi, Mika Kortelainen, Ulla Harjunmaa, Janna Waltimo-Sirén

Abstract read
In one paragraph

Article in European journal of orthodontics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Pekka NiemiWellbeing Services County of Satakunta, Department of Oral and Maxillofacial Unit, Satahospital, Sairaalantie 3, FI-28500, Pori, Finland.ORCID 0000-0002-1325-4478
Mika KortelainenDepartment of Economics, Turku School of Economics, InFLAMES Research Flagship Center, University of Turku, FI-20014, Turku, Finland.ORCID 0000-0001-7868-9651
Ulla HarjunmaaDepartment of Public Health and Welfare, Finnish Institute for Health and Welfare, P.O. Box 30, FI-00271, Helsinki, Finland.ORCID 0000-0003-1001-8864
Janna Waltimo-SirénDepartment of Pediatric Dentistry and Orthodontics, Institute of Dentistry, University of Turku, FI-20014, Turku, Finland.ORCID 0000-0002-5764-1496

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim was to analyse the costs and duration of orthodontic-surgical treatment with mandibular advancement in the public health care sector in Finland. MATERIALS: The study was conducted as a retrospective registry study in a public district hospital on all nonsyndromic patients that were ethnic Finns and treated with full fixed appliances and mandibular advancement surgery in 2016-2020.

resultsThe mean treatment duration of the included 45 patients was 28.1 months, including 18.9 months pre and 9.2 months postoperative orthodontics. The median number of visits was 27, including 17 visits before and 9 visits after surgery. The mean total treatment time was 14.5 h. The mean total direct costs per course of treatment were 7574 € to the municipality and 947 € to the patient. The costs positively correlated with the duration of the treatment (rho = 0.71, P = .000), but were not associated to gender or age of patient. The mean surgery time was 78 minutes, and significantly less with an experienced surgeon (P = .002). It was calculated that the mean minimum treatment costs would be 45% of the present total, achievable with a patient with optimum dental arches at the start of treatment. LIMITATIONS: The major limitation of the study is the relatively small number of study subjects.

conclusionA 55% share of the costs is influenced by case- and operator-dependent factors. This indicates that the complexity and performance of the orthodontic phases of treatment are important determinants in the cost structure.

Indexed as

Mandibular AdvancementDental CareDuration of TherapyFinlandHumansRetrospective Studiescost of treatmentduration of treatmentmandibular advancementorthodonticsorthognathic surgery

Identifiers

PMID37607274
PMCPMC10505688

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.