Clareamento caseiro versus dentifrícios clareadores para o tratamento da cor dentária: uma análise de custo-efetividade
Ano de defesa: | 2022 |
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Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | |
Tipo de documento: | Dissertação |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Universidade Federal da Paraíba
Brasil Odontologia Programa de Pós-Graduação em Odontologia UFPB |
Programa de Pós-Graduação: |
Não Informado pela instituição
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Departamento: |
Não Informado pela instituição
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País: |
Não Informado pela instituição
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Palavras-chave em Português: | |
Link de acesso: | https://repositorio.ufpb.br/jspui/handle/123456789/23553 |
Resumo: | This study aimed to analyze the cost-effectiveness of whitening toothpastes and at-home bleaching as treatments for tooth discoloration. A cost-effectiveness economic analysis was conducted and eight randomized clinical trials were selected based on the products used in this analysis: blue covarine dentifrices (BCD), hydrogen peroxide dentifrices (HPD), dentifrices without bleaching agents (CD, negative control), and 10% carbamide peroxide (CP10, positive control) at-home bleaching agents. The consumer/patient perspective was adopted, macro-costing techniques was used, and two decision tree models were performed considering the costs in the American and Brazilian markets. The color change evaluation (ΔE*ab) was used to calculate the effectiveness of tooth bleaching. The costs included in this analysis were direct, and the use of one tube of toothpaste per month during a year was assumed as the cost charged for CP10 bleaching. A probabilistic analysis was performed using a Monte Carlo simulation, and incremental cost-effectiveness ratios were obtained. CP10 at-home bleaching resulted in the highest cost-effectiveness compared to the use of dentifrices in both markets. In Brazil, HPD was more cost-effective than BCD and CD. In the US, the increased costs of HPD and BCD did not generate any whitening benefit compared to CD. CP10 at-home bleaching was more cost-effective than BCD and HPD for treating tooth discoloration in the Brazilian and American markets. |