A tooth autotransplantation cost model for pediatric through young adult patients

Tooth autotransplantation (TA) is a proven and effective treatment option for children with missing teeth; however, it is seldom performed in the United States due in part to the lack of knowledge about its practicality and costs. In this study the authors sought to analyze and compare costs of TA with the most common tooth replacement options being used.

A comprehensive literature review and expert panel were used to establish treatment clinical pathways. Procedural costs were calculated using the CDT 2024: Current Dental Terminology codes, and their corresponding fees from FAIR Health data and the American Dental Association Survey of Dental Fees. Time costs, which were defined as work time lost per appointment for families, were calculated using the US Bureau of Labor Statistics hourly wage data and number of visits.

A cost model was constructed comparing the cost of maxillary anterior TA in patients aged 8 through 25 years with the associated costs of implant-supported prosthesis, resin-bonded fixed partial denture, and orthodontic space closure. Implant-supported prosthesis without or with orthodontics was more costly (procedural costs: $9,186-$15,279) than TA with limited or comprehensive orthodontics (procedural costs: $6,134-$10,355). Resin-bonded fixed partial denture without orthodontic treatment was the least costly (procedural costs: $4,455; time costs: $437). Orthodontic space closure (procedural costs: $9,295; time costs: $2,187) was found to be more costly than TA with limited orthodontics but less costly than TA with comprehensive orthodontics.

TA is a practical tooth replacement option for families, and dental care professionals should consider TA for pediatric patients who require tooth replacement in the maxillary anterior region.