Evidence map›Paper›PMID 39960505›Full record

ArticleClinical oral investigations2025

Cost-efficiency analysis of atraumatic restorative treatment with and without chemical-mechanical caries removal agents based on pain and time for selective removal of carious tissue: a public health perspective.

Rênnis Oliveira da Silva, Luísa Buoro da Silva, Marcia Frias Pinto Marinho, Erico Eduardo Ribeiro de Souza, Yuri Wanderley Cavalcanti, Andréa Fonseca-Gonçalves, Andréa Vaz Braga Pintor

Abstract read
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Article in Clinical oral investigations, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

7 authors.

Rênnis Oliveira da SilvaPostgraduate Program of Dentistry, School of Dentistry, Universidade Federal da Paraíba, João Pessoa, Brazil.ORCID http://orcid.org/0000-0001-8413-8071
Luísa Buoro da SilvaPostgraduate Professional Master's Degree Program of Dentistry, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.ORCID http://orcid.org/0000-0003-1138-6298
Marcia Frias Pinto MarinhoPostgraduate Program of Dentistry, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.ORCID http://orcid.org/0000-0002-3567-8140
Erico Eduardo Ribeiro de SouzaSecretaria Municipal de Saúde do Rio de Janeiro, Rio de Janeiro, Brazil.ORCID http://orcid.org/0000-0003-0244-9613
Yuri Wanderley CavalcantiDepartment of Clinic and Social Dentistry, School of Dentistry, Universidade Federal da Paraíba, João Pessoa, Brazil.ORCID http://orcid.org/0000-0002-3570-9904
Andréa Fonseca-GonçalvesProfessional Master's Degree Program of Dentistry, School of Dentistry, Universidade Federal do Rio de Janeiro (UFRJ), Rua Rodolpho Paulo Rocco, 325, Rio de Janeiro, 21941-913, RJ, Brazil.ORCID http://orcid.org/0000-0001-6467-7078
Andréa Vaz Braga PintorProfessional Master's Degree Program of Dentistry, School of Dentistry, Universidade Federal do Rio de Janeiro (UFRJ), Rua Rodolpho Paulo Rocco, 325, Rio de Janeiro, 21941-913, RJ, Brazil. andrea_pintor@hotmail.com.ORCID http://orcid.org/0000-0002-3323-7691

Funding

Conselho Nacional de Desenvolvimento Científico e Tecnológico 304519/2021-9Coordenação de Aperfeiçoamento de Pessoal de Nível Superior finance code 001Fundação Carlos Chagas Filho de Amparo à Pesquisa do Estado do Rio de Janeiro E-26/203.868/2022Fundação Carlos Chagas Filho de Amparo à Pesquisa do Estado do Rio de Janeiro E-26/204.233/2024
6 · The paper itself

Abstract

objectiveTo evaluate the Cost-Efficiency of Atraumatic Restorative Treatment (ART) with a chemical-mechanical caries removal agent (CMCRA, Papacárie Duo Gel MATERIALS AND

methodsThe Cost-Efficiency analysis was conducted using TreeAgePro software, considering a 12-month horizon and a hypothetical cohort based on Monte Carlo microsimulation. ART + CMCRA was compared to ART in deciduous teeth, based on 26,700 treatments performed on children attended by SUS in Rio de Janeiro. Direct costs were calculated in Brazilian currency using the microcosting technique. Efficiency measures related to pain and caries removal time were extracted from a high-quality randomized clinical trial. Probabilistic simulation considered a 95% confidence interval and a 5% variation in parameters, generating acceptability curves to estimate the probability of treatment choice.

resultsART + CMCRA proved superior (p < 0,001) in terms of benefit. For pain perceived efficiency, ART + CMCRA resulted in a cost increase of R$ 0.23 per procedure, with an additional benefit of 47.53%. For time efficiency, there was a cost increase of R$ 0.24 per procedure, with an additional benefit of 14.19%.

conclusionART + CMCRA is a cost-efficient option for SUS. The implementation of this technique in Rio de Janeiro's public health system can be recommended due to the reduced pain, despite requiring a higher willingness to pay for the additional benefits. CLINICAL RELEVANCE: The adoption of ART + CMCRA in SUS can significantly improve the experience of pediatric patients by reducing pain, making dental treatment more efficient and humane.

Indexed as

Cost-Benefit AnalysisDental Atraumatic Restorative TreatmentDental CariesPapainBrazilChildFemaleHumansPain MeasurementPublic HealthPapacariePapainCost-efficiency analysisDental atraumatic restorative treatmentPediatric dentistry.Public health

Identifiers

PMID39960505

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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.