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An economic evaluation of maxillary implant overdentures based on six vs. four implants.

Identifieur interne : 000744 ( PubMed/Corpus ); précédent : 000743; suivant : 000745

An economic evaluation of maxillary implant overdentures based on six vs. four implants.

Auteurs : Stefan Listl ; Leonhard Fischer ; Nikolaos Nikitas Giannakopoulos

Source :

RBID : pubmed:25135370

English descriptors

Abstract

The purpose of the present study was to assess the value for money achieved by bar-retained implant overdentures based on six implants compared with four implants as treatment alternatives for the edentulous maxilla.

DOI: 10.1186/1472-6831-14-105
PubMed: 25135370

Links to Exploration step

pubmed:25135370

Le document en format XML

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<title xml:lang="en">An economic evaluation of maxillary implant overdentures based on six vs. four implants.</title>
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<nlm:affiliation>Department of Conservative Dentistry, Heidelberg University, Im Neuenheimer Feld 400, 69120 Heidelberg, Germany. stefan.listl@med.uni-heidelberg.de.</nlm:affiliation>
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<name sortKey="Fischer, Leonhard" sort="Fischer, Leonhard" uniqKey="Fischer L" first="Leonhard" last="Fischer">Leonhard Fischer</name>
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<name sortKey="Giannakopoulos, Nikolaos Nikitas" sort="Giannakopoulos, Nikolaos Nikitas" uniqKey="Giannakopoulos N" first="Nikolaos Nikitas" last="Giannakopoulos">Nikolaos Nikitas Giannakopoulos</name>
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<name sortKey="Fischer, Leonhard" sort="Fischer, Leonhard" uniqKey="Fischer L" first="Leonhard" last="Fischer">Leonhard Fischer</name>
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<name sortKey="Giannakopoulos, Nikolaos Nikitas" sort="Giannakopoulos, Nikolaos Nikitas" uniqKey="Giannakopoulos N" first="Nikolaos Nikitas" last="Giannakopoulos">Nikolaos Nikitas Giannakopoulos</name>
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<term>Dental Implants (psychology)</term>
<term>Dental Prosthesis, Implant-Supported (economics)</term>
<term>Dental Prosthesis, Implant-Supported (psychology)</term>
<term>Dental Restoration Failure (economics)</term>
<term>Denture Retention (economics)</term>
<term>Denture Retention (instrumentation)</term>
<term>Denture, Complete, Upper (economics)</term>
<term>Denture, Complete, Upper (psychology)</term>
<term>Denture, Overlay (economics)</term>
<term>Denture, Overlay (psychology)</term>
<term>Humans</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Markov Chains</term>
<term>Maxilla (surgery)</term>
<term>Models, Economic</term>
<term>Monte Carlo Method</term>
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<term>Dental Restoration Failure</term>
<term>Denture Retention</term>
<term>Denture, Complete, Upper</term>
<term>Denture, Overlay</term>
<term>Patient Care Planning</term>
<term>Patient Preference</term>
<term>Patient Satisfaction</term>
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<term>Denture Retention</term>
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<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture, Complete, Upper</term>
<term>Denture, Overlay</term>
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<term>Maxilla</term>
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<front>
<div type="abstract" xml:lang="en">The purpose of the present study was to assess the value for money achieved by bar-retained implant overdentures based on six implants compared with four implants as treatment alternatives for the edentulous maxilla.</div>
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<Volume>14</Volume>
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<ArticleTitle>An economic evaluation of maxillary implant overdentures based on six vs. four implants.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The purpose of the present study was to assess the value for money achieved by bar-retained implant overdentures based on six implants compared with four implants as treatment alternatives for the edentulous maxilla.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A Markov decision tree model was constructed and populated with parameter estimates for implant and denture failure as well as patient-centred health outcomes as available from recent literature. The decision scenario was modelled within a ten year time horizon and relied on cost reimbursement regulations of the German health care system. The cost-effectiveness threshold was identified above which the six-implant solution is preferable over the four-implant solution. Uncertainties regarding input parameters were incorporated via one-way and probabilistic sensitivity analysis based on Monte-Carlo simulation.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Within a base case scenario of average treatment complexity, the cost-effectiveness threshold was identified to be 17,564 € per year of denture satisfaction gained above of which the alternative with six implants is preferable over treatment including four implants. Sensitivity analysis yielded that, depending on the specification of model input parameters such as patients' denture satisfaction, the respective cost-effectiveness threshold varies substantially.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The results of the present study suggest that bar-retained maxillary overdentures based on six implants provide better patient satisfaction than bar-retained overdentures based on four implants but are considerably more expensive. Final judgements about value for money require more comprehensive clinical evidence including patient-centred health outcomes.</AbstractText>
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<CommentsCorrectionsList>
<CommentsCorrections RefType="Cites">
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