Financial costs for the treatment of caries and Its complications, taking into account the structure of the need for dental treatment

Currently, research is relevant to determine the specific need for different types of dental treatment in certain groups of the population, in particular, among workers in industries with hazardous working conditions (HWC) for optimal and accurate planning of financing of dental services from compulsory medical insurance funds. The purpose of the study: justification of the volume of funding for the treatment of caries and its complications in workers with dental problems at the Kalinin NPP based on data on the need for dental treatment. Materials and methods. A clinical and X-ray examination of 100 workers from the 35–44-year-old Kalinin NPP was conducted in order to calculate the need for the treatment of caries and its complications. The cost of types of treatment from Compulsory Health Insurance Fund (CHI) is calculated according to the tariffs of the Territorial CHI Program of the Tver region for 2024, and then, based on the need for each type of treatment, the financial costs of the CHI Fund are calculated per 1 employee with HWC. Results. Based on the data obtained during the study, it was established that in the studied group of workers with HWC, the necessary costs of the CHI Fund for the treatment of caries and its complications amount to 4885.61 rubles per 1 worker. In the structure of financial costs, a smaller share is occupied by treatment at the initial stages of tooth decay – when applying fillings on one surface of the tooth, as well as costs for tooth extraction; the largest costs are such options for necessary treatment as applying fillings on two surfaces of the tooth, endodontic treatment and especially repeated endodontic treatment. Conclusions. The obtained data can be used in planning dental care for decreed population groups and the corresponding costs of the Compulsory Medical Insurance Fund, and the applied methodology can contribute to increasing the medical and economic efficiency of the departmental dental service.