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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Cost-effectiveness of Anterior Implants <italic>versus</italic>
Fixed Dental Prostheses</title>
<author><name sortKey="Zitzmann, N U" sort="Zitzmann, N U" uniqKey="Zitzmann N" first="N. U." last="Zitzmann">N. U. Zitzmann</name>
<affiliation><nlm:aff id="aff1-0022034513504927">Department of Periodontology, Endodontology, and Cariology, University of Basel, Hebelstrasse 3, CH-4056, Basel, Switzerland</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Krastl, G" sort="Krastl, G" uniqKey="Krastl G" first="G." last="Krastl">G. Krastl</name>
<affiliation><nlm:aff id="aff1-0022034513504927">Department of Periodontology, Endodontology, and Cariology, University of Basel, Hebelstrasse 3, CH-4056, Basel, Switzerland</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Weiger, R" sort="Weiger, R" uniqKey="Weiger R" first="R." last="Weiger">R. Weiger</name>
<affiliation><nlm:aff id="aff1-0022034513504927">Department of Periodontology, Endodontology, and Cariology, University of Basel, Hebelstrasse 3, CH-4056, Basel, Switzerland</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kuhl, S" sort="Kuhl, S" uniqKey="Kuhl S" first="S." last="Kühl">S. Kühl</name>
<affiliation><nlm:aff id="aff2-0022034513504927">Department of Oral Surgery, Oral Radiology, and Oral Medicine, University of Basel, Hebelstrasse 3, CH-4056, Basel, Switzerland</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sendi, P" sort="Sendi, P" uniqKey="Sendi P" first="P." last="Sendi">P. Sendi</name>
<affiliation><nlm:aff id="aff3-0022034513504927">Department for Reconstructive Dentistry and TMJ Disorders, University of Basel, Hebelstrasse 3, CH-4056 Basel, Switzerland, and Institute for Clinical Epidemiology, Basel University Hospital, Hebelstrasse 10, 3rd Floor, CH-4031 Basel, Switzerland</nlm:aff>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">24158338</idno>
<idno type="pmc">3860069</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3860069</idno>
<idno type="RBID">PMC:3860069</idno>
<idno type="doi">10.1177/0022034513504927</idno>
<date when="2013">2013</date>
<idno type="wicri:Area/Pmc/Corpus">002426</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002426</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Cost-effectiveness of Anterior Implants <italic>versus</italic>
Fixed Dental Prostheses</title>
<author><name sortKey="Zitzmann, N U" sort="Zitzmann, N U" uniqKey="Zitzmann N" first="N. U." last="Zitzmann">N. U. Zitzmann</name>
<affiliation><nlm:aff id="aff1-0022034513504927">Department of Periodontology, Endodontology, and Cariology, University of Basel, Hebelstrasse 3, CH-4056, Basel, Switzerland</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Krastl, G" sort="Krastl, G" uniqKey="Krastl G" first="G." last="Krastl">G. Krastl</name>
<affiliation><nlm:aff id="aff1-0022034513504927">Department of Periodontology, Endodontology, and Cariology, University of Basel, Hebelstrasse 3, CH-4056, Basel, Switzerland</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Weiger, R" sort="Weiger, R" uniqKey="Weiger R" first="R." last="Weiger">R. Weiger</name>
<affiliation><nlm:aff id="aff1-0022034513504927">Department of Periodontology, Endodontology, and Cariology, University of Basel, Hebelstrasse 3, CH-4056, Basel, Switzerland</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kuhl, S" sort="Kuhl, S" uniqKey="Kuhl S" first="S." last="Kühl">S. Kühl</name>
<affiliation><nlm:aff id="aff2-0022034513504927">Department of Oral Surgery, Oral Radiology, and Oral Medicine, University of Basel, Hebelstrasse 3, CH-4056, Basel, Switzerland</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sendi, P" sort="Sendi, P" uniqKey="Sendi P" first="P." last="Sendi">P. Sendi</name>
<affiliation><nlm:aff id="aff3-0022034513504927">Department for Reconstructive Dentistry and TMJ Disorders, University of Basel, Hebelstrasse 3, CH-4056 Basel, Switzerland, and Institute for Clinical Epidemiology, Basel University Hospital, Hebelstrasse 10, 3rd Floor, CH-4031 Basel, Switzerland</nlm:aff>
</affiliation>
</author>
</analytic>
<series><title level="j">Journal of Dental Research</title>
<idno type="ISSN">0022-0345</idno>
<idno type="eISSN">1544-0591</idno>
<imprint><date when="2013">2013</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><p>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.</p>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Dent Res</journal-id>
<journal-id journal-id-type="iso-abbrev">J. Dent. Res</journal-id>
<journal-id journal-id-type="publisher-id">JDR</journal-id>
<journal-id journal-id-type="hwp">spjdr</journal-id>
<journal-title-group><journal-title>Journal of Dental Research</journal-title>
</journal-title-group>
<issn pub-type="ppub">0022-0345</issn>
<issn pub-type="epub">1544-0591</issn>
<publisher><publisher-name>SAGE Publications</publisher-name>
<publisher-loc>Sage CA: Los Angeles, CA</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">24158338</article-id>
<article-id pub-id-type="pmc">3860069</article-id>
<article-id pub-id-type="doi">10.1177/0022034513504927</article-id>
<article-id pub-id-type="publisher-id">10.1177_0022034513504927</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Clinical Investigations</subject>
</subj-group>
</article-categories>
<title-group><article-title>Cost-effectiveness of Anterior Implants <italic>versus</italic>
Fixed Dental Prostheses</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Zitzmann</surname>
<given-names>N.U.</given-names>
</name>
<xref ref-type="aff" rid="aff1-0022034513504927">1</xref>
<xref ref-type="corresp" rid="corresp1-0022034513504927">*</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Krastl</surname>
<given-names>G.</given-names>
</name>
<xref ref-type="aff" rid="aff1-0022034513504927">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Weiger</surname>
<given-names>R.</given-names>
</name>
<xref ref-type="aff" rid="aff1-0022034513504927">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kühl</surname>
<given-names>S.</given-names>
</name>
<xref ref-type="aff" rid="aff2-0022034513504927">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sendi</surname>
<given-names>P.</given-names>
</name>
<xref ref-type="aff" rid="aff3-0022034513504927">3</xref>
</contrib>
</contrib-group>
<aff id="aff1-0022034513504927"><label>1</label>
Department of Periodontology, Endodontology, and Cariology, University of Basel, Hebelstrasse 3, CH-4056, Basel, Switzerland</aff>
<aff id="aff2-0022034513504927"><label>2</label>
Department of Oral Surgery, Oral Radiology, and Oral Medicine, University of Basel, Hebelstrasse 3, CH-4056, Basel, Switzerland</aff>
<aff id="aff3-0022034513504927"><label>3</label>
Department for Reconstructive Dentistry and TMJ Disorders, University of Basel, Hebelstrasse 3, CH-4056 Basel, Switzerland, and Institute for Clinical Epidemiology, Basel University Hospital, Hebelstrasse 10, 3rd Floor, CH-4031 Basel, Switzerland</aff>
<author-notes><corresp id="corresp1-0022034513504927"><label>*</label>
<email>N.Zitzmann@unibas.ch</email>
</corresp>
</author-notes>
<pub-date pub-type="epub-ppub"><month>12</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="ppub"><month>12</month>
<year>2013</year>
</pub-date>
<volume>92</volume>
<issue>12 Suppl</issue>
<issue-title>Clinical Research Supplement on Implant Dentistry</issue-title>
<fpage>183S</fpage>
<lpage>188S</lpage>
<permissions><copyright-statement>© International & American Associations for Dental Research</copyright-statement>
<copyright-year>2013</copyright-year>
<copyright-holder content-type="society">International & American Associations for Dental Research</copyright-holder>
</permissions>
<abstract><p>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.</p>
</abstract>
<kwd-group><kwd>dental economics</kwd>
<kwd>cost effectiveness</kwd>
<kwd>single-tooth implants</kwd>
<kwd>fixed partial denture</kwd>
<kwd>dental restoration</kwd>
<kwd>patient satisfaction</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>
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