Cost-effectiveness of anterior implants versus fixed dental prostheses.
Identifieur interne : 001211 ( Main/Merge ); précédent : 001210; suivant : 001212Cost-effectiveness of anterior implants versus fixed dental prostheses.
Auteurs : N U Zitzmann [Suisse] ; G. Krastl ; R. Weiger ; S. Kühl ; P. SendiSource :
- Journal of dental research [ 1544-0591 ] ; 2013.
Descripteurs français
- KwdFr :
- Analyse coût-bénéfice, Années de vie ajustées sur la qualité, Conception d'appareil de prothèse dentaire, Conception de prothèse dentaire, Couronnes (économie), Coûts et analyse des coûts, Dentisterie esthétique, Humains, Implants dentaires unitaires (économie), Mâchoire partiellement édentée (rééducation et réadaptation), Mâchoire partiellement édentée (économie), Probabilité, Processus stochastiques, Prothèse dentaire implanto-portée (économie), Prothèse partielle fixe (économie), Préférence du patient, Satisfaction du patient, Études de suivi, Études longitudinales, Études prospectives.
- MESH :
- rééducation et réadaptation : Mâchoire partiellement édentée.
- économie : Couronnes, Implants dentaires unitaires, Mâchoire partiellement édentée, Prothèse dentaire implanto-portée, Prothèse partielle fixe.
- Analyse coût-bénéfice, Années de vie ajustées sur la qualité, Conception d'appareil de prothèse dentaire, Conception de prothèse dentaire, Coûts et analyse des coûts, Dentisterie esthétique, Humains, Probabilité, Processus stochastiques, Préférence du patient, Satisfaction du patient, Études de suivi, Études longitudinales, Études prospectives.
English descriptors
- KwdEn :
- Cost-Benefit Analysis, Costs and Cost Analysis, Crowns (economics), Dental Implants, Single-Tooth (economics), Dental Prosthesis Design, Dental Prosthesis, Implant-Supported (economics), Denture Design, Denture, Partial, Fixed (economics), Esthetics, Dental, Follow-Up Studies, Humans, Jaw, Edentulous, Partially (economics), Jaw, Edentulous, Partially (rehabilitation), Longitudinal Studies, Patient Preference, Patient Satisfaction, Probability, Prospective Studies, Quality-Adjusted Life Years, Stochastic Processes.
- MESH :
- economics : Crowns, Dental Implants, Single-Tooth, Dental Prosthesis, Implant-Supported, Denture, Partial, Fixed, Jaw, Edentulous, Partially.
- rehabilitation : Jaw, Edentulous, Partially.
- Cost-Benefit Analysis, Costs and Cost Analysis, Dental Prosthesis Design, Denture Design, Esthetics, Dental, Follow-Up Studies, Humans, Longitudinal Studies, Patient Preference, Patient Satisfaction, Probability, Prospective Studies, Quality-Adjusted Life Years, Stochastic Processes.
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.
DOI: 10.1177/0022034513504927
PubMed: 24158338
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Weiger</name></author><author><name sortKey="Kuhl, S" sort="Kuhl, S" uniqKey="Kuhl S" first="S" last="Kühl">S. Kühl</name></author><author><name sortKey="Sendi, P" sort="Sendi, P" uniqKey="Sendi P" first="P" last="Sendi">P. 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Krastl</name></author><author><name sortKey="Weiger, R" sort="Weiger, R" uniqKey="Weiger R" first="R" last="Weiger">R. Weiger</name></author><author><name sortKey="Kuhl, S" sort="Kuhl, S" uniqKey="Kuhl S" first="S" last="Kühl">S. Kühl</name></author><author><name sortKey="Sendi, P" sort="Sendi, P" uniqKey="Sendi P" first="P" last="Sendi">P. 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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.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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