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The European Journal of Orthodontics Advance Access originally published online on October 25, 2007
The European Journal of Orthodontics 2008 30(1):31-39; doi:10.1093/ejo/cjm086
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© The Author 2007. Published by Oxford University Press on behalf of the European Orthodontic Society. All rights reserved. For permissions, please email: journals.permissions@oxfordjournals.org.

Orthognathic cases: what are the surgical costs?

Sanjay Kumar*, Alison C. Williams**, Anthony J. Ireland*** and Jonathan R. Sandy***

* The Crescent Specialist Centre, Plymouth, Devon
** Royal London Hospital, London
*** Bristol Dental School, UK

Address for correspondence Professor Jonathan R Sandy, Child Dental Health, University of Bristol Dental School, Lower Maudlin Street, Bristol BS1 2LY, UK, E-mail: jonathan.sandy{at}bristol.ac.uk


  Abstract

This multicentre, retrospective, study assessed the cost, and factors influencing the cost, of combined orthodontic and surgical treatment for dentofacial deformity. The sample, from a single region in England, comprised 352 subjects treated in 11 hospital orthodontic units who underwent orthognathic surgery between 1 January 1995 and 31 March 2000. Statistical analysis of the data was undertaken using non-parametric tests (Spearman and Wilcoxon signed rank).

The average total treatment cost for the tax year from 6 April 2000 to 5 April 2001 was {euro}6360.19, with costs ranging from {euro}3835.90 to {euro}12 150.55. The average operating theatre cost was {euro}2189.54 and the average inpatient care (including the cost of the intensive care unit and ward stay) was {euro}1455.20. Joint clinic costs comprised, on average, 10 per cent of the total cost, whereas appointments in other specialities, apart from orthodontics, comprised 2 per cent of the total costs.

Differences in the observed costings between the units were unexplained but may reflect surgical difficulties, differences in clinical practice, or efficiency of patient care. These indicators need to be considered in future outcome studies for orthognathic patients.


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J. Orthod., June 1, 2009; 36(2): 75 - 77.
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