title: Costing dental restorations in public sector dental clinics.
abstract: The objective of this study is to share cost analysis methodology and to obtain cost estimates for posterior restorations in public sector dental clinics. Two urban and 2 rural dental clinics in Selangor state were selected. Only cases of 1 posterior restoration per visit by dental officers were included over 6 months. One capsulated amalgam type, 1 capsulated tooth-colored, and 1 non-capsulated tooth-colored material were selected. A clinical pathway form was formulated to collect data per patient. Annual capital and recurrent expenditures were collected per clinic. The mean cost of an amalgam restoration was RM 30.96 (sdRM 7.86); and tooth-colored restorations ranged from RM 33.00 (sdRM 8.43) to RM 41.10 (sdRM 10.61). Wherein 1 USD = RM 2.8. Restoration costs were 35% to 55% higher in clinics in rural areas than in urban areas. The findings demonstrate economy of scale for clinic operation and restoration costs with higher patient load. Costs per restoration were higher in rural than in urban dental clinics. More studies are recommended to address the dearth of dental costs data in Malaysia.
authors.affiliation: Oral Health Division, Ministry of Health Malaysia, Putrajaya. drkay@moh.gov.my
authors.forename: Abdul Muttalib
authors.initials: AM
authors.lastname: Khairiyah
authors.forename: Ishak Abdul
authors.initials: IA
authors.lastname: Razak
authors.forename: Raja Jalludin
authors.initials: RJ
authors.lastname: Raja-Latifah
authors.forename: Bee Siew
authors.initials: BS
authors.lastname: Tan
authors.forename: Abu Talib
authors.initials: AT
authors.lastname: Norain
authors.forename: Ismail
authors.initials: I
authors.lastname: Noor-Aliyah
authors.forename: Che Salleh
authors.initials: CS
authors.lastname: Natifah
authors.forename: Ismail
authors.initials: I
authors.lastname: Rauzi
mesh_terms: D003365:Costs and Cost Analysis; D003740:Dental Clinics / Q000191:economics*; D003793:Dental Restoration, Permanent / Q000191:economics*; D006801:Humans; D008296:Malaysia; D017059:Models, Econometric; D008963:Molar; D011446:Prospective Studies; D017150:Public Sector; D012424:Rural Population / Q000706:statistics & numerical data; D014505:Urban Population / Q000706:statistics & numerical data