LABOR AND FINANCIAL COSTS IN TREATMENT OF DENTOALVEOLAR ANOMALIES IN THE PERIOD OF THE MIXED OCCLUSION

Abstract


The aim of the present study is to analyze the complexity and cost of modern methods of orthodontic treatment of children during the period of replacement bite. The study of the duration and frequency of visits to the doctor the orthodontist with the use of technology 2x4, removable plates with artificial teeth, ring spacer, plate from the front Nakonechny pad and plate valve for the language of the Twin-block appliance, mask dilara combined with the expanding apparatus, plate screw, machine screw hyrax expansion. Based on the complexity of the calculated salary orthodontist doctor, medical and other personnel. The cost of consumables at the clinical and dental stages was determined by taking into account the purchase prices and the cost of a specific manipulation by weighing or measuring. Calculated the expenditure on maintenance of workplaces of the doctor and dental technician in the calculations of the required funding early orthodontic treatment used more information about the structure and prevalence of orthodontic pathology in children in the period of the mixed occlusion. It was found that the complexity of modern orthodontic treatment during the period of replacement bite varies from 5.55 hours (spacer with a ring in case of premature loss of a temporary tooth) to 10.73 hours in the treatment of distal bite with the twin-block device. The cost of orthodontic treatment during the period of replacement bite ranges from 12.6 thousand rubles (spacer with a ring in case of premature loss of a temporary tooth) to 33.4 thousand rubles in the treatment of mesial bite using a dilyar mask in combination with an expanding apparatus. Taking into account the prevalence of dentoalveolar anomalies in children during the period of replacement bite, the necessary financial costs for orthodontic treatment per one examined child and per child with a dentoalveolar anomaly reach 30 and 40 thousand rubles, respectively.

Full Text

Restricted Access

About the authors

Egor Evgenievich Olesov

Academy of postgraduate education under FSBU FSCC of FMBA of Russia

Email: olesov_georgiy@mail.ru
125371, Moscow
MD., associate Professor, head department of clinical dentistry and implantology Academy of postgraduate education under FSBU FSCC of FMBA of Russia

O. S Kaganova

Academy of postgraduate education under FSBU FSCC of FMBA of Russia

125371, Moscow

M. Z Mirgazizov

Academy of postgraduate education under FSBU FSCC of FMBA of Russia

125371, Moscow

S. A Zaslavsky

Academy of postgraduate education under FSBU FSCC of FMBA of Russia

125371, Moscow

I. A Shugailov

Academy of postgraduate education under FSBU FSCC of FMBA of Russia

125371, Moscow

V. N Olesova

Academy of postgraduate education under FSBU FSCC of FMBA of Russia

125371, Moscow

References

  1. Gianelly A.A. One-phase versus two-phase treatment. Am. J. Orthod. Dentofacial. Orthop. 1995; 108(5): 556-9.
  2. Keeling S.D., King G.J., Wheeler T.T., McGorry S. Timing of class II treatment: Rationale, methods, and early results of an ongoing randomized clinical trial. In: McNamara J. Orthodontic treatment: outcomes and effectiveness, monograph no. 30. Ann Arbor: Center for Human Growth and Development. The University of Michigan. 1995.
  3. O’Brien K., Wright J., Conboy F., Sanjie Y., Mandall N., Chadwick S. Effectiveness of early orthodontic treatment with the Twin-block appliance: A multicenter, randomized, controlled trial. Part 1: Dental and skeletal effects. Am. J. Orthod. Dentofacial. Orthop. 2003; 124(3): 234-43.
  4. Tulloch J.F., Proffit W.R., Phillips C. Outcomes in a 2-phase randomized clinical trial of early Class II treatment. Am. J. Orthod. Dentofacial. Orthop. 2004; 125(6): 657-67.
  5. Арсенина О.И., Попова А.В., Попова Н.В. Применение эластопозиционеров в программе профилактики и раннего ортодонтического лечения детей 4-12-летнего возраста. Стоматология детского возраста и профилактика. 2013; 45(2): 49-57.
  6. Ngom P.I., Brown R. A cultural comparison of treatment need. Eur. J. Orthod. 2005; 27: 597-600.
  7. Otuyemi O.D., Ogunyinka A. Perceptions of dental aesthetics in the United States and Nigeria. Community Dent. Oral Epidemiol. 1998; 26: 418-20.
  8. Proffit R.W. Contemporaiy Orthodontics. 6rd ed. St Louis, Mo: Mosby, 2018; 744.
  9. Приказ Минздравмедпрома РФ от 15.11.2001 № 408 «Об утверждении Инструкции по расчету условных единиц трудоемкости работы врачей-стоматологов и зубных врачей».
  10. Бутова В.Г., Бойков М.И., Зуев М.В., Борисенко И.И. Сравнительный анализ и перспективы заработной платы врачей - стоматологов. Экономика и менеджмент в стоматологии. 2016; 2:28-30.
  11. Новоземцева Т.Н., Заславский Р.С., Олесов Е.Е., Морозов Д.И., Глазкова Е.В. Анализ трудовых и материальных затрат при ортопедическом лечении пациентов с дефектами зубных рядов. Российский стоматологический журнал. 2018; 22(4): 206-9.
  12. Олесов Е.Е., Новоземцева Т.Н., Микрюков В.В., Иванов А.С., Каганова О.С. Себестоимость стоматологической реабилитации лиц с стрессогенными и физическими профессиональными нагрузками. Учебное пособие. ИПК ФМБА России. 2018; 32.
  13. Решетников А.В. Экономика здравоохранения. Учебник. Москва: ГЭОТАР-Медиа; 2015: 192.
  14. Каганова О.С., Олесов Е.Е., Тихонов В.Э., Рева В.В., Кащенко П.В., Микрюков В.В. Ортодонтический статус у детей в период сменного прикуса. Российский стоматологический журнал. 2018; 22(4): 203-5.

Statistics

Views

Abstract - 49

PDF (Russian) - 0

Cited-By


Article Metrics

Metrics Loading ...

Refbacks

  • There are currently no refbacks.

Copyright (c) 2019 Eco-Vector



This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies