A tooth autotransplantation cost model for pediatric through young adult patients

IF 4.4 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of the American Dental Association Pub Date : 2026-10-01 Epub Date: 2026-06-18 DOI:10.1016/j.adaj.2026.03.011

Caitlin Miller DMD, MS, Jessica Lee DDS, MPH, PhD, Glenn Reside DMD, MS, Antonio Moretti DDS, MS, Gustavo Oliveira DDS, MS, Dick Barendregt DDS, PhD, John Christensen DDS, MS

{"title":"A tooth autotransplantation cost model for pediatric through young adult patients","authors":"Caitlin Miller DMD, MS, Jessica Lee DDS, MPH, PhD, Glenn Reside DMD, MS, Antonio Moretti DDS, MS, Gustavo Oliveira DDS, MS, Dick Barendregt DDS, PhD, John Christensen DDS, MS","doi":"10.1016/j.adaj.2026.03.011","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Tooth autotransplantation (TA) is a proven and effective treatment option for children with missing teeth; however, it is seldom performed in the United States due in part to the lack of knowledge about its practicality and costs. In this study the authors sought to analyze and compare costs of TA with the most common tooth replacement options being used.</div></div><div><h3>Types of Studies Reviewed</h3><div>A comprehensive literature review and expert panel were used to establish treatment clinical pathways. Procedural costs were calculated using the <em>CDT 2024: Current Dental Terminology</em> codes, and their corresponding fees from FAIR Health data and the American Dental Association Survey of Dental Fees. Time costs, which were defined as work time lost per appointment for families, were calculated using the US Bureau of Labor Statistics hourly wage data and number of visits.</div></div><div><h3>Results</h3><div>A cost model was constructed comparing the cost of maxillary anterior TA in patients aged 8 through 25 years with the associated costs of implant-supported prosthesis, resin-bonded fixed partial denture, and orthodontic space closure. Implant-supported prosthesis without or with orthodontics was more costly (procedural costs: $9,186-$15,279) than TA with limited or comprehensive orthodontics (procedural costs: $6,134-$10,355). Resin-bonded fixed partial denture without orthodontic treatment was the least costly (procedural costs: $4,455; time costs: $437). Orthodontic space closure (procedural costs: $9,295; time costs: $2,187) was found to be more costly than TA with limited orthodontics but less costly than TA with comprehensive orthodontics.</div></div><div><h3>Conclusions and Practical Implications</h3><div>TA is a practical tooth replacement option for families, and dental care professionals should consider TA for pediatric patients who require tooth replacement in the maxillary anterior region.</div></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"157 10","pages":"Pages 1202-1212.e4"},"PeriodicalIF":4.4000,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the American Dental Association","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0002817726001807","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/6/18 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}

引用次数: 0

Abstract

Background

Tooth autotransplantation (TA) is a proven and effective treatment option for children with missing teeth; however, it is seldom performed in the United States due in part to the lack of knowledge about its practicality and costs. In this study the authors sought to analyze and compare costs of TA with the most common tooth replacement options being used.

Types of Studies Reviewed

A comprehensive literature review and expert panel were used to establish treatment clinical pathways. Procedural costs were calculated using the CDT 2024: Current Dental Terminology codes, and their corresponding fees from FAIR Health data and the American Dental Association Survey of Dental Fees. Time costs, which were defined as work time lost per appointment for families, were calculated using the US Bureau of Labor Statistics hourly wage data and number of visits.

Results

A cost model was constructed comparing the cost of maxillary anterior TA in patients aged 8 through 25 years with the associated costs of implant-supported prosthesis, resin-bonded fixed partial denture, and orthodontic space closure. Implant-supported prosthesis without or with orthodontics was more costly (procedural costs: $9,186-$15,279) than TA with limited or comprehensive orthodontics (procedural costs: $6,134-$10,355). Resin-bonded fixed partial denture without orthodontic treatment was the least costly (procedural costs: $4,455; time costs: $437). Orthodontic space closure (procedural costs: $9,295; time costs: $2,187) was found to be more costly than TA with limited orthodontics but less costly than TA with comprehensive orthodontics.

Conclusions and Practical Implications

TA is a practical tooth replacement option for families, and dental care professionals should consider TA for pediatric patients who require tooth replacement in the maxillary anterior region.

查看原文本刊更多论文

从儿童到青年患者的自体牙移植成本模型。

背景：自体牙移植（TA）是一种被证实有效的治疗儿童缺牙的方法；然而，由于缺乏对其实用性和成本的了解，它很少在美国进行。在这项研究中，作者试图分析和比较TA与最常用的牙齿替代方案的成本。研究回顾类型：综合文献回顾和专家小组来建立治疗临床途径。使用CDT 2024：现行牙科术语代码计算程序成本，并从FAIR Health数据和美国牙科协会牙科费用调查中计算相应的费用。时间成本被定义为家庭每次预约所损失的工作时间，是根据美国劳工统计局的小时工资数据和就诊次数计算出来的。结果：建立了一个成本模型，比较8 - 25岁患者上颌前牙TA的成本与种植义齿、树脂粘接固定局部义齿和正畸间隙关闭的相关成本。无正畸或有正畸的种植体支持假体比有有限或全面正畸的TA更昂贵（手术费用：9,186- 15,279美元）（手术费用：6,134- 10,355美元）。无需正畸治疗的树脂粘接固定局部义齿成本最低（手术成本：4,455美元；时间成本：437美元）。正畸空间封闭（程序成本：9,295美元；时间成本：2,187美元）被发现比有限正畸的TA成本更高，但比全面正畸的TA成本更低。结论和实际意义：TA是一种实用的家庭牙齿替代选择，牙科保健专业人员应考虑对上颌前区需要更换牙齿的儿科患者进行TA。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of the American Dental Association 医学-牙科与口腔外科

CiteScore

5.30

自引率

10.30%

发文量

221

审稿时长

34 days

期刊介绍： There is not a single source or solution to help dentists in their quest for lifelong learning, improving dental practice, and dental well-being. JADA+, along with The Journal of the American Dental Association, is striving to do just that, bringing together practical content covering dentistry topics and procedures to help dentists—both general dentists and specialists—provide better patient care and improve oral health and well-being. This is a work in progress; as we add more content, covering more topics of interest, it will continue to expand, becoming an ever-more essential source of oral health knowledge.