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Search: WFRF:(Bondemark Lars) > (2020-2023) > Comparisons of cost...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004849naa a2200385 4500
001oai:DiVA.org:liu-186570
003SwePub
008220628s2022 | |||||||||||000 ||eng|
009oai:DiVA.org:mau-42476
024a https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-1865702 URI
024a https://doi.org/10.1093/ejo/cjab0262 DOI
024a https://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-424762 URI
040 a (SwePub)liud (SwePub)mau
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Kallunki, Jennyu Region Östergötland, Centrum för Ortodonti/Pedodonti Norrköping,The Center for Orthodontics and Pedodontics, County Council Östergötland, Norrköping, Sweden4 aut0 (Swepub:mau)ac2467
2451 0a Comparisons of costs and treatment effects—an RCT on headgear activator treatment of excessive overjet in the mixed and late mixed dentition
264 c 2021-05-27
264 1a Oxford, United Kingdom :b Oxford University Press,c 2022
338 a print2 rdacarrier
500 a Funding agencies: Eklund foundation Malmö, Sweden (2018); Region Östergötland, Sweden; and Faculty of Odontology, Malmö University, Sweden.
520 a Objectives: To compare the costs and treatment effects of headgear activator treatment of Class II malocclusion with excessive overjet between treatments started in the mixed (MD) and late mixed dentition (LMD).Trial design: Two-arm parallel-group single-centre randomized controlled trial (RCT).Material and methods: A total of 56 children presenting Class II malocclusion with excessive overjet were assessed and invited to an RCT designed as intention-to-treat. The children were randomized, by an independent person not involved in the trial into two groups, treatment with headgear activator in the MD starting at the age of 9 or to treatment with a headgear activator in LMD, starting at the age of 11. The primary outcome measure was to compare the treatment costs between the two groups. Societal costs (the sum of direct and indirect costs) were calculated for successful treatments only and when unsuccessful treatments were included. Secondary outcomes were comparisons of oral health-related quality of life (OHRQoL), dental and skeletal treatment effects, lip closure, and trauma incidence. Data collections were performed before and after treatment, corresponding to a treatment period of 2 years. Blinding was accomplished when assessing outcomes.Results: No group differences in costs were found of successful treatments or when unsuccessful treatments were included. The most pronounced treatment effects in both groups were the reduction of overjet and improved molar relation. Treatment started in MD or in LMD were equal and without significant differences regarding effects on OHRQoL, skeletal effects, lip closure, and incidence of trauma.Harms: No harm was observed, but 8 of 30 children (27%) in the MD and 6 of 21 children (29%) in the LMD group showed unsuccessful results.Limitations: Costs depend on local factors and can thereby not be directly transferred to other settings. It was a single-centre trial and can thus be less generalizable.Conclusions: Regarding costs and treatment effects, there is no difference if headgear activator treatment of excessive overjet starts in the MD or LMD.Clinical trial registration: NCT04508322.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Odontologi0 (SwePub)302162 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Dentistry0 (SwePub)302162 hsv//eng
650 7a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi0 (SwePub)303012 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Health Care Service and Management, Health Policy and Services and Health Economy0 (SwePub)303012 hsv//eng
700a Bondemark, Larsu Malmö universitet,Odontologiska fakulteten (OD),Department of Orthodontics, Faculty of Odontology, Malmö University, Malmö, Sweden4 aut0 (Swepub:mau)odlabo
700a Paulsson, Liselotteu Malmö universitet,Odontologiska fakulteten (OD),Department of Orthodontics, Faculty of Odontology, Malmö University, Malmö, Sweden4 aut0 (Swepub:mau)odlipa
710a Region Östergötland, Centrum för Ortodonti/Pedodonti Norrköpingb The Center for Orthodontics and Pedodontics, County Council Östergötland, Norrköping, Sweden4 org
773t European Journal of Orthodonticsd Oxford, United Kingdom : Oxford University Pressg 44:1, s. 86-94q 44:1<86-94x 0141-5387x 1460-2210
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-186570
8564 8u https://doi.org/10.1093/ejo/cjab026
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-42476

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