To analyze the costs of implementing and maintaining dental care in the hospital, a partial economic analysis was conducted to calculate the average costs for implementing and maintaining a dentist in the hospital. The average cost of implementation, the average monthly maintenance cost of the professional in the hospital setting, monthly maintenance of permanent equipment and instruments, and monthly cost of consumable materials were calculated. Sensitivity analysis varied the values by 20%. The average cost of implementing dental care in a hospital setting is R$32,327.97 (R$25,862.38 - R$38,793.56) considering the use of a dental chair, and R$28,762.53 (R$23,010.02 - R$34,515.04) considering the use of portable equipment. The monthly maintenance of the dentist in the hospital had an average value of R$10,528.11 (R$8,422.49 - R$12,633.73). The costs for maintaining dental care in a hospital setting are approximately one-third of the implementation cost. It would be necessary to treat 32 patients to ensure the service’s maintenance.
Anschau, F., Webster, J., Roessler, N., Fernandes, E. D. O., Klafke, V., Da Silva, C. P. et al. (2017). Avaliação de intervenções de Gestão da Clínica na qualificação do cuidado e na oferta de leitos em um hospital público de grande porte. Scientia Medica, 27, Article ID: 26575. https://doi.org/10.15448/1980-6108.2017.2.26575
Araújo, E. C. F., da Silva, R. O., Raymundo, M. L. B., Vieira, T. I., de Sousa, S. A., Santiago, B. M. et al. (2022). Does the Presence of Oral Health Teams Influence the Incidence of Ventilator‐associated Pneumonia and Mortality of Patients in Intensive Care Units? Systematic Review. Special Care in Dentistry, 43, 452-463. https://doi.org/10.1111/scd.12785
Bellissimo-Rodrigues, W. T., Menegueti, M. G., Gaspar, G. G., Nicolini, E. A., Auxiliadora-Martins, M., Basile-Filho, A. et al. (2014). Effectiveness of a Dental Care Intervention in the Prevention of Lower Respiratory Tract Nosocomial Infections among Intensive Care Patients: A Randomized Clinical Trial. Infection Control & Hospital Epidemiology, 35, 1342-1348. https://doi.org/10.1086/678427
Bellissimo-Rodrigues, W. T., Menegueti, M. G., Gaspar, G. G., de Souza, H. C. C., Auxiliadora-Martins, M., Basile-Filho, A. et al. (2018). Is It Necessary to Have a Dentist within an Intensive Care Unit Team? Report of a Randomised Clinical Trial. International Dental Journal, 68, 420-427. https://doi.org/10.1111/idj.12397
Blum, D. F. C., Silva, J. A. S., Baeder, F. M., & Bona, A. D. (2018). A atuação da Odontologia em unidades de terapia intensiva no Brasil. Revista Brasileira de Terapia Intensiva , 30, 327-332.
Brasil Congresso Nacional (2019). Veto nº 16/2019 Prestação de assistência odontológica obrigatória . https://www.congressonacional.leg.br/materias/vetos/-/veto/detalhe/12346
Brasil Ministério da Saúde (2010). Portaria Nº 1.032. Inclui procedimento odontológico na Tabela de Procedimentos , Medicamentos , Órteses e Próteses e Materiais Especiais do Sistema Único de Saúde —SUS, para atendimento às pessoas com necessidades especiais . https://bvsms.saude.gov.br/bvs/saudelegis/gm/2010/prt1032_05_05_2010.html#:~:text=Inclui%20procedimento%20odontol%C3%B3gico%20na%20Tabela,%C3%A0s%20pessoas%20com%20necessidades%20especiais
Brasil Ministério da Saúde (2014a). Diretrizes Metodológicas : Diretriz de Avaliação Econômica (2ª ed). https://bvsms.saude.gov.br/bvs/publicacoes/diretrizes_metodologicas_diretriz_avaliacao_economica.pdf
Brasil Ministério da Saúde (2014b). Nota Técnica MS/SAS/DAB/CSB nº 1 de 2014- Permite que todos os procedimentos odontológicos realizados em Ambiente Hospitalar sejam registrados e informados no Sistema de Informação Hospitalar (SIH), independente do motivo que gerou a internação . http://189.28.128.100/dab/docs/portaldab/notas_tecnicas/nt_procedimentos_odontologicos_aih.pdf
Claussen, M. S. A. (2022). Atenção em saúde bucal no âmbito hospitalar : Uma revisão de literatura . Rio de Janeiro. Ph.D. Thesis, Universidade do Estado do Rio de Janeiro. http://www.bdtd.uerj.br/handle/1/18146
Collins, T., Plowright, C., Gibson, V., Stayt, L., Clarke, S., Caisley, J. et al. (2021). British Association of Critical Care Nurses: Evidence‐Based Consensus Paper for Oral Care within Adult Critical Care Units. Nursing in Critical Care, 26, 224-233. https://doi.org/10.1111/nicc.12570
Conselho Federal de Odontologia (2004). Conferência Nacional de Saúde Bucal . https://bvsms.saude.gov.br/bvs/publicacoes/3_conferencia_nacional_saude_bucal_relatorio_final.pdf
Drummond, M. F., Sculpher, M. J., Claxton, K., Stoddart, G. L., & Torrance, G. W. (2015). Methods for the Economic Evaluation of Health Care Programmes (4th ed.). Oxford University Press.
Gomes, R. F. T., & Castelo, E. F. (2019). Hospital Dentistry and the Occurrence of Pneumonia. RGO— Revista Gaúcha de Odontologia , 67, e20190016. https://doi.org/10.1590/1981-86372019000163617
Guan, X., Li, D., Zou, D., Yu, X., Pan, S., Yang, Z. et al. (2024). Investigation on the Knowledge, Attitude and Practice of Oral Health among Medical College and University Undergraduate. Health, 16, 602-614. https://doi.org/10.4236/health.2024.167042
Holzer, J., Canavan, M., Cherlin, E., & Bradley, E. (2014). Health Hot Spots: Mapping Hospital Costs and Social Determinants of Health. Open Journal of Preventive Medicine, 4, 717-722. https://doi.org/10.4236/ojpm.2014.49081
Husereau, D., Drummond, M., Petrou, S., Carswell, C., Moher, D. et al. (2013). Consolidated Health Economic Evaluation Reporting Standards (CHEERS)—Explanation and Elaboration: A Report of the ISPOR Health Economic Evaluation Publication Guidelines Good Reporting Practices Task Force. Value Health, 16, 231-250.
Ishikawa, S., Yamamori, I., Takamori, S., Kitabatake, K., Edamatsu, K., Sugano, A. et al. (2021). Evaluation of Effects of Perioperative Oral Care Intervention on Hospitalization Stay and Postoperative Infection in Patients Undergoing Lung Cancer Intervention. Supportive Care in Cancer, 29, 135-143. https://doi.org/10.1007/s00520-020-05450-9
Jun, M., Ku, J., Kim, I., Park, S., Hong, J., Kim, J. et al. (2021). Hospital Dentistry for Intensive Care Unit Patients: A Comprehensive Review. Journal of Clinical Medicine, 10, Article 3681. https://doi.org/10.3390/jcm10163681
Kollef, M. H., Hamilton, C. W., & Ernst, F. R. (2012). Economic Impact of Ventilator-Associated Pneumonia in a Large Matched Cohort. Infection Control & Hospital Epidemiology, 33, 250-256. https://doi.org/10.1086/664049
Malhan, N., Usman, M., Trehan, N., Sinha, A., Settecase, V. A., Fried, A. D. et al. (2019). Oral Care and Ventilator-Associated Pneumonia. American Journal of Therapeutics, 26, e604-e607. https://doi.org/10.1097/mjt.0000000000000878
Schreiber, M. P., & Shorr, A. F. (2017). Challenges and Opportunities in the Treatment of Ventilator-Associated Pneumonia. Expert Review of Anti-infective Therapy, 15, 23-32. https://doi.org/10.1080/14787210.2017.1250625
Silva, I. O., Amaral, F. R., da-Cruz, P. M., & Sales, T. O. (2017). A importância do cirurgião-dentista em ambiente hospitalar. Revista Médica de Minas Gerais , 27, e1888.
Sousa, L. V. S., Pereira, A. F. V., & Silva, N. B. S. (2014). A atuação do cirurgião-dentista no atendimento hospitalar. Revista Ciências em Saúde , 16, 39-45.
Warren, C., Medei, M. K., Wood, B., & Schutte, D. (2019). A Nurse-Driven Oral Care Protocol to Reduce Hospital-Acquired Pneumonia. AJN : American Journal of Nursing, 119, 44-51. https://doi.org/10.1097/01.naj.0000553204.21342.01