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Cost-effectiveness of anterior implants versus fixed dental prostheses
- Source :
- Journal of dental research. 92
- Publication Year :
- 2013
-
Abstract
- For the restoration of an anterior missing tooth, implant-supported single crowns (ISCs) or fixed dental prostheses (FDPs) are indicated, but it is not clear which type of restoration is more cost-effective. A self-selected trial was performed with 15 patients with ISCs and 11 with FDPs. Patient preferences were recorded with visual analog scales before treatment, 1 month following restoration, and then annually. Quality-adjusted tooth years (QATYs) were estimated by considering the type of reconstruction for replacing the missing tooth and its effect on the adjacent teeth. A stochastic cost-effectiveness model was developed using Monte Carlo simulation. The expected costs and QATYs were summarized in cost-effectiveness acceptability curves. ISC was the dominant strategy, with a QATY increase of 0.01 over 3 years and 0.04 over 10 years with a higher probability of being cost-effective. While both treatment options provided satisfactory long-term results from the patient’s perspective, the lower initial costs, particularly laboratory fees, were responsible for the dominance of ISCs over FDPs.
- Subjects :
- Cost effectiveness
Visual analogue scale
medicine.medical_treatment
Cost-Benefit Analysis
Clinical Investigations
Dentistry
Esthetics, Dental
Patient satisfaction
Dental Implants, Single-Tooth
stomatognathic system
Dental Prosthesis Design
Medicine
Humans
Longitudinal Studies
Prospective Studies
Denture Design
General Dentistry
Probability
Orthodontics
Stochastic Processes
Crowns
Missing tooth
business.industry
Jaw, Edentulous, Partially
Patient Preference
Patient preference
Quality-adjusted life year
Patient Satisfaction
Costs and Cost Analysis
Denture, Partial, Fixed
Dental Prosthesis, Implant-Supported
Quality-Adjusted Life Years
business
Dental restoration
Follow-Up Studies
Subjects
Details
- ISSN :
- 15440591
- Volume :
- 92
- Database :
- OpenAIRE
- Journal :
- Journal of dental research
- Accession number :
- edsair.doi.dedup.....249be2d4177e510d93eec4b366d17112