Estudo do microcusteio da ortopedia funcional dos maxilares nos centros de especialidades odontológicas

Abstract

With the reduction in the prevalence of dental caries in the world population, dental malocclusion has become one of the biggest problems in oral health. Functional orthopedics of the jaw is the specialty of dentistry responsible for treating dental malocclusions using devices that shape the child's bone growth to promote an adequate relationship between the maxilla and mandible. Despite being included in the list of procedures of the Center for Dental Specialties, this specialty is not mandatory for municipalities to adhere to. Objectives: Determine the direct costs of offering the specialty Functional Jaw Orthopedics within the scope of the Dental Specialties Center of a medium-sized municipality in southeastern Brazil, identify the material to be used during the procedures, both those for general use and those specific to the specialty, as well as the costs of this material, identify the necessary staff, in addition to those already included in the location structure, and the values of new hires and quantify the implementation values of the new service. Methods: This study will carry out an economic evaluation of the costs of including this service in the Unified Health System by Brazilian municipalities. The values of the procedures to be carried out by Functional Jaw Orthopedics in Dental Specialty Centers will be listed and quantified through a micro-cost analysis. Results: During the study, values between 167.74 and 307.94 Brazilian reais per month were found for each patient attended. Final Considerations: Occlusopathies affect many people, therefore, the possibility of offering this new specialty in the Municipal Dental Specialty Centers is reiterated. However, the development of studies on a larger scale can provide more basis for each municipality to act in decision-making on the topic.