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<p><b>Aims</b> To evaluate the costs and outcomes of increasing conscious sedation (CS) use for adults undergoing a dental procedure in secondary care.</p><p><b>Methods</b> A cost-consequence analysis comparing the increased CS use under a new model and current practice was undertaken from a UK National Health Service perspective. Costs included treatment room/bed, staff and drugs. Clinical outcomes, total procedure time and resources were considered. Data sources included theatre data, published literature and expert opinion. A sensitivity analysis excluding staff costs was conducted.</p><p><b>Results</b> In current practice, 1,321 patients had a dental procedure under general anaesthetic (GA) (n = 529) or CS (n = 792) from April 2022 to March 2023. It was estimated to incur £1,817,227, where GA contributed 60% of the total annual costs, and yielded 1,297 (98%) successful cases, and 20 (1%) adverse events. The new model would incur total annual costs of £1,773,629, representing a cost-saving of £43,598, compared to current practice. A total of 107 hours of theatre time and 79 hours of anaesthetist time would be freed. The change in clinical outcomes was modest. The cost-saving finding was robust in the sensitivity analysis.</p><p><b>Conclusion</b> Increasing CS use potentially offers cost savings. Expanding CS dental services could reduce over-reliance on GA, free up high-cost resources and help address the long waiting time for dental procedures.</p>

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Increasing conscious sedation use for dental treatments: a cost and consequences analysis

  • 期刊论文

  • 发表日期：

    2026年4月17日

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  • Huey Yi Chong,
  • Megan Dale,
  • Vaseekaran Sivarajasingam,
  • Michael Allen

摘要

Aims To evaluate the costs and outcomes of increasing conscious sedation (CS) use for adults undergoing a dental procedure in secondary care.

Methods A cost-consequence analysis comparing the increased CS use under a new model and current practice was undertaken from a UK National Health Service perspective. Costs included treatment room/bed, staff and drugs. Clinical outcomes, total procedure time and resources were considered. Data sources included theatre data, published literature and expert opinion. A sensitivity analysis excluding staff costs was conducted.

Results In current practice, 1,321 patients had a dental procedure under general anaesthetic (GA) (n = 529) or CS (n = 792) from April 2022 to March 2023. It was estimated to incur £1,817,227, where GA contributed 60% of the total annual costs, and yielded 1,297 (98%) successful cases, and 20 (1%) adverse events. The new model would incur total annual costs of £1,773,629, representing a cost-saving of £43,598, compared to current practice. A total of 107 hours of theatre time and 79 hours of anaesthetist time would be freed. The change in clinical outcomes was modest. The cost-saving finding was robust in the sensitivity analysis.

Conclusion Increasing CS use potentially offers cost savings. Expanding CS dental services could reduce over-reliance on GA, free up high-cost resources and help address the long waiting time for dental procedures.