1. Work package 5 Cost effectiveness Participant responsible MAHOD Participants contributing CLUJ KUL UNIMAN VU SEDENTEXCT consortium meeting Malmö, January 2010

2. To analyse the cost- effectiveness of CBCT in different clinical situations, health care contexts and countries Overall objective of WP 5

3. Specific objectives To analyse the costs of CBCT examinations in terms of radiation dosage and monetary terms To analyse additional diagnostic information To analyse additional therapeutical information To calculate costs and efficacy for different clinical situations i.e the gain of CBCT in terms of efficacy

4. Clinical situations agreed on Retained maxillary canines Lower wisdom teeth Preoperative implants Temporomandibular joints

5. Conventional method New method Conventional method New method

6. COST-EFFECTIVENESS COST ANALYSIS ANALYSIS OF CONSEQUENCES

7. D5.1 Analysis of time and cost spent on the ”key” CBCT examination in all participating radiology departments – M5.2, M 18 Valuation of cost per image of intraoral and panoraminc radiographs and volumes of CBCT in EURO. Intra-oral Panoramic CBCT Malmö 4,0216,12105,42 Cluj 2,423,7936,44 Leuven 1,261,4524,28 Vilnius 1,952,2568,26 Average 2,415,9058,6 Worked on further…..

8. Objectives for year 2 MilestoneDelivery date 5.2Cost analysisMonth 24 5.3WP5 clinical case collection completed Month 21 5.5WP5 diagnosis and treatment plan completed Month 24

9. MilestoneDelivery date 5.2Cost analysisMonth 24 5.3WP5 clinical case collection completed Month 21 5.4Assessment of WP5 radiographs completed Month 21 5.5WP5 diagnosis and treatment plan completed Month 24

10. Number of received patient protocols December 21, 2009 Retained canines ImplantsLower wisdom teeth TMJ Cluj950243 Leuven34 Malmö51653520 Vilnius355031 Summary1291659023

11. Problems identified: recruitment of patients patients examined with only one radiographic method (CBCT) in some centres transfer of images to MAHOD

12. Problem solving: continuous recruitment of patients in MAHOD UNIMAN entering clinical cases into WP5

13. MilestoneDelivery date 5.2Cost analysisMonth 24 5.3WP5 clinical case collection completed Month 21 5.4Assessment of WP5 radiographs completed Month 21 5.5WP5 diagnosis and treatment plan completed Month 24

14. ANALYSIS OF CONSEQUENCES Influence on the confidence of the radiologist – diagnostic thinking efficacy (M5.4) Influence on the confidence of the clinician in treatment decision (M5.5) Influence on the treatment Consequences for the patient

17. Problems identified: recruitment of patients patients examined with only one radiographic method (CBCT) in some centres transfer of images to MAHOD

18. MilestoneDelivery date 5.2Cost analysisMonth 24 5.3WP5 clinical case collection completed Month 21 5.4Assessment of WP5 radiographs completed Month 21 5.5WP5 diagnosis and treatment plan completed Month 24

19. Plans for Month 24 - 36 Month 27 M 5.4 Retained canines and wisdom teeth Month 30 M 5.5 Retained canines Month 32 M 5.5 Wisdom teeth and Implant patients Month 26 M 5.6 Avalaibility of WP2 dosimetry data for WP5 work M 5.7 and 5.8 Completion of WP5 work D5.2 Completion of cost analysis of CBCT D5.2, M26 Completion of cost analysis of CBCT D5.3, M36 Analysis and calculations of cost-effectiveess completed