Cost-Effectiveness Analysis of Photobiomodulation After Third Molar Extraction for Pain Control

Area of Science:

• Dental Surgery
• Pain Management
• Health Economics

Background:

• Third molar extraction is a common dental procedure with potential negative post-surgical effects.
• Conventional treatments using anti-inflammatory drugs can cause unwanted side effects.
• Photobiomodulation offers a promising alternative for managing post-surgical pain and inflammation.

Purpose of the Study:

• To evaluate the cost-effectiveness of photobiomodulation therapy following third molar extraction.
• To compare the effectiveness and cost of photobiomodulation versus conventional treatments.

Main Methods:

• A systematic review of 15 studies and a meta-analysis of 8 studies were conducted.
• Effectiveness was measured using the visual analog scale for pain.
• Costs were determined based on Brazilian health system data and common clinical practices.

Main Results:

• Photobiomodulation demonstrated a significant reduction in post-surgical pain on the second day (MD, -1.15; 95% CI, -1.73, -0.57).
• The laser treatment group showed higher effectiveness but also incurred a higher cost (USD 34.62) compared to the control group.
• A trade-off exists between increased cost and enhanced pain relief with photobiomodulation.

Conclusions:

• Photobiomodulation is a cost-effective option for managing pain after third molar extraction, offering superior pain reduction.
• The decision to use photobiomodulation should involve a clinical assessment of the cost versus the benefit of improved pain control.
• This therapy presents a valuable alternative for patients seeking reduced pain and discomfort post-surgery.