Minimally‐invasive dental anesthesia: Patients' preferences and analysis of the willingness‐to‐pay index

Re, Dino; Fabbro, Massimo Del; Karanxha, Lorena; Augusti, Gabriele; Augusti, Davide; Fessi, Sabrine; Taschieri, Silvio

doi:10.1111/jicd.12275

Cited by 5 publications

(5 citation statements)

References 17 publications

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“…We found that the majority of the respondents were willing to pay for public dental services in the case of an emergency (79.4%), which is very encouraging. This finding is similar to those of prior studies [ 8 , 10 , 11 , 17 ]. For instance, Al Garni et al [ 8 ] found that 67% of respondents were willing to pay for implants in Riyadh.…”

Section: Discussionsupporting

confidence: 93%

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Socioeconomic Determinants of Willingness to Pay for Emergency Public Dental Services in Saudi Arabia: A Contingent Valuation Approach

Hawsawi

Immurana

Al-Hanawi

2022

IJERPH

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Dental diseases remain major health problems worldwide, leading to pain, discomfort, and even death. In Saudi Arabia, public dental care services (i.e., services provided by government-owned health facilities) are provided free of charge for all Saudi citizens. However, public dental care facilities are overburdened and overcrowded, resulting in long waiting times to access dental care services. The consequent limited access to dental services can prolong discomfort and delay pain management, thereby exacerbating the suffering of patients. Therefore, the aim of this study was to examine the socioeconomic determinants of the willingness to pay for immediate public dental care in the face of a dental emergency in Saudi Arabia. A cross-sectional design was employed to obtain data from adult citizens of Saudi Arabia who were residents of the Holy City of Makkah. A pre-tested online questionnaire was used to obtain the responses from 549 individuals, selected through a snowball sampling technique, from 15 July to 10 August 2021. Descriptive statistics (frequencies and percentages), Pearson’s chi-square test, and binary probit regression were used as estimation techniques. The findings showed that 79.4% of the respondents were willing to pay for immediate public dental services, with the majority (86%) expressing a willingness to pay less than 500 Saudi Riyal (SAR). The binary probit regression estimates showed that respondents who were unemployed, those with a high school level of education or below, and those without private health insurance were less likely to be willing to pay for immediate public dental services. Thus, policies and initiatives aimed at enhancing the willingness to pay for immediate public dental services should target the unemployed, those with a high school level of education or below, and people without private health insurance.

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Section: Discussionsupporting

confidence: 93%

“…To this end, several studies have been conducted to evaluate the WTP for dental services [ 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 ]. Among these studies, to the best of our knowledge, only a few were devoted to the KSA [ 8 , 10 , 19 ].…”

Section: Introductionmentioning

confidence: 99%

Socioeconomic Determinants of Willingness to Pay for Emergency Public Dental Services in Saudi Arabia: A Contingent Valuation Approach

Hawsawi

Immurana

Al-Hanawi

2022

IJERPH

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“…The use of a computer-controlled delivery device seems to achieve more diffusion of the anesthetic solution than manual syringe (11). Overall, the use of a computerized anesthesia system seems to be preferred as it can reduce disruptive behavior in children (3) and pain during injection (11,17,22). A prospective cohort study (22) reported that more than a half of the patients included would even pay additionally to be anesthetized by a minimally invasive system, thus confirming their positive experience respect to traditional injection.…”

Section: Discussionmentioning

confidence: 99%

Influence of information concerning a computerized anesthesia system on dental anxiety: a randomized controlled clinical trial

Rizzo-Lorenzo¹,

Sánchez‐Torres²,

Noguera-Mutlló³

et al. 2020

Med Oral

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Background: A single-blinded randomized controlled trial among patients requiring an upper third molar extraction was performed to evaluate the anxiety degree after receiving information or not about the functioning of The Wand system. Secondarily, perceived pain and the need of re-anesthesia were assessed. Material and Methods: Patients were randomly assigned to the experimental group (detailed explanation about The Wand) or control group (no specific information). Local anesthesia with The Wand consisted in a supraperiosteal infiltrative technique injection 1.6 mL at the buccal and 0.2 mL at the palatal side. Distinct questionnaires for assessing dental anxiety and 100-mm visual analog scales to assess pain were delivered. Demographic data, radiological parameters, operative time and type of intervention were also registered. A descriptive bivariate analysis by non-parametric tests to detect differences in anxiety, pain and re-anesthesia was performed by SPSS 22.0 (SPPS Inc. Chicago, USA). Results: A total of 85 patients were assessed for eligibility but 17 participants were lost due to the cancellation of the visit for the surgical intervention. Finally, sixty-eight patients were included (34 participants in each group), 47 women (69.1%) and 21 men (30.9%), with an average age of 28.8 (± 9.3) years.

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“…Different methodological approaches were used to determine WTP, e.g., bidding game, and payment card method, with closed [e.g., Christell et al (2019) [151]], and open [e.g., Tianviwat et al (2008) [152]] response options. Re et al [153][154][155], reported patients would be willing to pay an additional fee to receive a particular treatment. According to McKenna et al (2016) [156], there is a strong WTP regarding basic and functional treatments.…”

Section: Willingness-to-pay In Dental Carementioning

confidence: 99%

Decision-making regarding dental treatments – What factors matter from patients’ perspective and does Covid-19 influence patients’ behavior? A systematic review

Felgner,

Handrock,

Schroll

et al. 2023

Preprint

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Background Achieving dental health for the population should be a concern of a public health care system, as it may affect its expenditures in the long term. Patients often face individual challenges in dental health care. Why patients decide for or against dental treatments can be determined by many factors, e.g., own financial resources, preferences, and external circumstances. The study’s aim is to identify these factors with an international perspective. Methods We systematically searched for literature in three biomedical databases. Factors of choice were extracted from relevant publications. We used a qualitative approach for analysis, and the MMAT (Mixed Methods Appraisal Tool) for quality assessment. Results After multistage screening of n = 4,226 publications by two reviewers, n = 233 relevant articles of different study types [qualitative (n = 42), quantitative (n = 177), and mixed methods (n = 14)] were included in the analysis. Data collection was realized across different settings [e.g., practice (n = 18)] and approaches (e.g., interviews) in n = 49 countries. Included articles focused on specific treatments (e.g., caries treatment) or treatments in general (e.g., dental tourism). Across countries, various factors of choice (n = 101) were identified, divided into three categories: (I) "dentist & dental institution" (e.g., communication), (II) "patient" (e.g., dental fear), and (III) "treatment" (e.g., durability). The factors out-of-pocket payment and dental fear were mentioned most frequently (n = 148, n = 73). In countries with most articles [UK (n = 28), Saudi Arabia (n = 23), USA (n = 22), India (n = 19), and Brazil (n = 14)], out-of-pocket payment was identified most often [e.g., India: in 68%, and the UK: in 56% of articles]. Frequency of the factor dental fear varied by country. One publication addressed the Covid-19 pandemic reporting that treatment appointments were cancelled by patients due to their fear of infection with SARS-CoV-2. Study quality is highly variable. Conclusions A variety of factors influence patients' choice regarding dental treatments. There is little research on impact of the Covid-19 pandemic. Knowing patients’ reasons for seeking dental care can help to inform decisions about interventions to improve dental health. Regulatory measures and information efforts should be adapted to reduce patients’ access barriers to dental care, and to reduce expenditures of health care systems in the long term.

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Minimally‐invasive dental anesthesia: Patients' preferences and analysis of the willingness‐to‐pay index

Abstract: Computer-controlled systems for local anesthesia represent a relevant tool for reducing patients' discomfort during dental treatment. The WTP index helps to quantify its relevance.

Cited by 5 publications

References 17 publications

Socioeconomic Determinants of Willingness to Pay for Emergency Public Dental Services in Saudi Arabia: A Contingent Valuation Approach

Socioeconomic Determinants of Willingness to Pay for Emergency Public Dental Services in Saudi Arabia: A Contingent Valuation Approach

Influence of information concerning a computerized anesthesia system on dental anxiety: a randomized controlled clinical trial

Decision-making regarding dental treatments – What factors matter from patients’ perspective and does Covid-19 influence patients’ behavior? A systematic review

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