Cost-effectiveness of molar single-implant versus fixed dental prosthesis
| Autor: | Tanaka-Mizuno Sachiko, Baba Shunsuke, Kawakami Koji, Tatsunori Murata, Arai Korenori, Teranishi Yuki |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Cost effectiveness Dental implant medicine.medical_treatment Cost-Benefit Analysis Dentistry 03 medical and health sciences 0302 clinical medicine Dental Implants Single-Tooth Medicine Humans 030212 general & internal medicine General Dentistry Economic evaluative Aged Aged 80 and over Dental Implants business.industry Cost-effectiveness analysis Dental prosthesis 030206 dentistry Middle Aged Molar Markov Chains Markov model Patient reported outcome lcsh:RK1-715 lcsh:Dentistry Oral and maxillofacial surgery Quality of Life Denture Partial Fixed Patient-reported outcome Female Implant Dental Prosthesis Implant-Supported business Incremental cost-effectiveness ratio Monte Carlo Method Research Article |
| Zdroj: | BMC Oral Health BMC Oral Health, Vol 18, Iss 1, Pp 1-9 (2018) |
| ISSN: | 1472-6831 |
| Popis: | Background This study evaluates the cost-effectiveness of implants (Implant), insurance fixed dental prosthesis (IFDP) and private fixed dental prosthesis (PFDP) for a single intermediate missing tooth in the molar region to calculate the Incremental Cost Effectiveness Ratio (ICER). Methods The Markov model for cost-effectiveness analysis of the Implant, IFDP and PFDP was carried over maximum 30 years. The starting age for prosthetic treatment was decided to be 50 years. The General Oral Health Assessment Index (GOHAI) was used for the indicator of effectiveness as an oral health QOL value. The GOHAI value was collected from patients who visited the Department of Oral Implantology of Osaka Dental University between September 2014 and March 2016. In addition, the Tornado diagram was drawn and Monte-Carlo simulations made for sensitivity analysis. Results From the analysis of survey of QOL of each stage and treatment, the selection of an Implant led to a higher QOL value than FDP. However, the estimated 30-year cost for IFDP was lower than Implant. It also became evident that PFDP had an extended dominated condition compared with IFDP and Implants. The ICER on the Implant versus IFDP was €1423.00. Conclusions These results suggest that a better of QOL value can be obtained from an Implant than from IFDP or PFDP. An evaluation form using an indexed scale for oral health-related aspects needs to be developed that is also consistent as an indicator of effect. |
| Databáze: | OpenAIRE |
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