Shortened dental arch concept shown to be cost effective.
Identifieur interne : 000493 ( PubMed/Curation ); précédent : 000492; suivant : 000494Shortened dental arch concept shown to be cost effective.
Auteurs : Colin Levey [Royaume-Uni] ; Craig Dunbar [Royaume-Uni]Source :
- Evidence-based dentistry [ 1476-5446 ] ; 2015.
Descripteurs français
- KwdFr :
- MESH :
- rééducation et réadaptation : Mâchoire partiellement édentée, Perte dentaire.
- économie : Prothèse dentaire partielle amovible, Prothèse partielle fixe.
- Femelle, Humains, Mâle.
English descriptors
- KwdEn :
- MESH :
- economics : Denture, Partial, Fixed, Denture, Partial, Removable.
- rehabilitation : Jaw, Edentulous, Partially, Tooth Loss.
- Female, Humans, Male.
Abstract
Randomised controlled trial.
DOI: 10.1038/sj.ebd.6401080
PubMed: 25909936
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xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Division of Restorative Dentistry Dundee, Scotland</wicri:regionArea></affiliation></author><author><name sortKey="Dunbar, Craig" sort="Dunbar, Craig" uniqKey="Dunbar C" first="Craig" last="Dunbar">Craig Dunbar</name><affiliation wicri:level="1"><nlm:affiliation>Division of Oral Health Sciences, Dundee Dental Hospital and School, Dundee, Scotland, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Division of Oral Health Sciences, Dundee Dental Hospital and School, Dundee, Scotland</wicri:regionArea></affiliation></author></analytic><series><title level="j">Evidence-based dentistry</title><idno type="eISSN">1476-5446</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Denture, Partial, Fixed (economics)</term><term>Denture, Partial, Removable (economics)</term><term>Female</term><term>Humans</term><term>Jaw, Edentulous, Partially (rehabilitation)</term><term>Male</term><term>Tooth Loss (rehabilitation)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Femelle</term><term>Humains</term><term>Mâchoire partiellement édentée (rééducation et réadaptation)</term><term>Mâle</term><term>Perte dentaire (rééducation et réadaptation)</term><term>Prothèse dentaire partielle amovible (économie)</term><term>Prothèse partielle fixe (économie)</term></keywords><keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Denture, Partial, Fixed</term><term>Denture, Partial, Removable</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous, Partially</term><term>Tooth Loss</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire partiellement édentée</term><term>Perte dentaire</term></keywords><keywords scheme="MESH" qualifier="économie" xml:lang="fr"><term>Prothèse dentaire partielle amovible</term><term>Prothèse partielle fixe</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Female</term><term>Humans</term><term>Male</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Femelle</term><term>Humains</term><term>Mâle</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Randomised controlled trial.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25909936</PMID><DateCompleted><Year>2015</Year><Month>06</Month><Day>24</Day></DateCompleted><DateRevised><Year>2017</Year><Month>02</Month><Day>20</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1476-5446</ISSN><JournalIssue CitedMedium="Internet"><Volume>16</Volume><Issue>1</Issue><PubDate><Year>2015</Year><Month>Mar</Month></PubDate></JournalIssue><Title>Evidence-based dentistry</Title><ISOAbbreviation>Evid Based Dent</ISOAbbreviation></Journal><ArticleTitle>Shortened dental arch concept shown to be cost effective.</ArticleTitle><Pagination><MedlinePgn>19-20</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1038/sj.ebd.6401080</ELocationID><Abstract><AbstractText Label="DESIGN" NlmCategory="METHODS">Randomised controlled trial.</AbstractText><AbstractText Label="INTERVENTION" NlmCategory="METHODS">All patients received treatment to render them dentally fit. Patients were randomly allocated to either the removable dental prostheses (RPD) or the shortened dental arch (SDA) group. Patients in the RDP group were restored to complete arches with RDP using cobalt-chromium frameworks according to a standardised protocol. For the SDA group, patients were restored to a shortened arch of ten occluding pairs of natural and replacement teeth using resin-bonded bridgework (RBB).</AbstractText><AbstractText Label="OUTCOME MEASURE" NlmCategory="METHODS">Treatment effect was measured using the change in oral health-related quality of life (OHrQOL). For each patient the costs of delivering treatment were recorded by a research nurse during the intervention period. Laboratory costs were recorded as part of normal hospital policy for all patients. All of the dental materials used were recorded and given a unit price. The cost of professional time per patient was estimated using the highest point of the salary scale for the Community Dental Service in Ireland.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">One hundred and thirty-two patients were randomised; 65 to the RPD group and 67 to the SDA group. Ninety-two patients (69.7%) completed the study (46 in RPD group; 46in SDA group). There was no difference in the success rates of the two treatments over the period. Five pieces of resin-bonded bridgework (RBB) debonded and were recemented over the 12-month period giving a success rate of 95.5% for the RBB. Four patients discontinued wearing their RPDs; all four RPDS were fitted in the lower arch and included bilateral free end saddles, a success rate of 95.9%. Both RPD and SDA groups demonstrated statistically significant improvements in OHrQoL scores after 12 months.The total cost of achieving the minimally important clinical difference (MID) in OHrQOL for an average patient in the RDP group was [euro ]464.64. For the SDA group, the cost of achieving the MID for an average patient was [euro ]252.00. The cost-effectiveness ratio was therefore 1:1.84 in favour of SDA treatment.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">With an increasingly ageing population, many patients will continue to benefit from removable prostheses to replace their missing natural teeth. From a purely economic standpoint, the results from this analysis suggest that the treatment of partially dentate older adults should be focused on functionally orientated treatment because it is simply more cost-effective.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Levey</LastName><ForeName>Colin</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Division of Restorative Dentistry Dundee, Scotland, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dunbar</LastName><ForeName>Craig</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Division of Oral Health Sciences, Dundee Dental Hospital and School, Dundee, Scotland, UK.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016420">Comment</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Evid Based Dent</MedlineTA><NlmUniqueID>100883603</NlmUniqueID><ISSNLinking>1462-0049</ISSNLinking></MedlineJournalInfo><CitationSubset>D</CitationSubset><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentOn"><RefSource>Community Dent Oral Epidemiol. 2014 Aug;42(4):366-74</RefSource><PMID Version="1">24251386</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Community Dent Oral Epidemiol. 2004 Feb;32(1):10-8</RefSource><PMID Version="1">14961835</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D003830" MajorTopicYN="N">Denture, Partial, Fixed</DescriptorName><QualifierName UI="Q000191" MajorTopicYN="Y">economics</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003832" MajorTopicYN="N">Denture, Partial, Removable</DescriptorName><QualifierName UI="Q000191" MajorTopicYN="Y">economics</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007576" MajorTopicYN="N">Jaw, Edentulous, Partially</DescriptorName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016388" MajorTopicYN="N">Tooth Loss</DescriptorName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>4</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>4</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>6</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25909936</ArticleId><ArticleId IdType="pii">6401080</ArticleId><ArticleId IdType="doi">10.1038/sj.ebd.6401080</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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