A cost analysis of a long‐term prospective study of patients treated with immediately loaded implant‐supported mandibular overdentures

Alfadda, Sara A.; Attard, Nikolai J.

doi:10.1111/cid.12519

Cited by 10 publications

(42 citation statements)

References 19 publications

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“…When comparing the “old” CD (71 OHIP‐20 points) versus a mandibular IOD‐2 after 1 year (28 OHIP‐20 points), an improvement of 43 points was detected, which is more than 4 times the MID of 9 points 33 . The same trend was seen in the study by Attard and colleagues; an improvement of 47 points was detected for an IOD‐2 versus the “old” CD 34 .…”

Section: Discussionsupporting

confidence: 70%

“…The cost‐effectiveness of an IOD on four to six maxillary implants was calculated in only one study 40 . All others addressed an IOD in the lower jaw 28–39 …”

Section: Resultsmentioning

confidence: 99%

“…For a mandibular IOD‐2 versus a new CD, the ICER was $81 per OHIP‐20 point after 1 year 34 and $152 per OHIP‐20 point after 17.9 years 29 . Costs went up as the years passed: $129, $159, and $362 per OHIP‐20 point after 1, 5, and 14 years, respectively 33 …”

Section: Resultsmentioning

confidence: 99%

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What is the evidence on the added value of implant‐supported overdentures? A review

Winkel

Heijens

Listl

et al. 2021

Clin Implant Dent Rel Res

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Background Implant‐supported overdentures (IODs) have been reported to increase patients' oral health‐related quality of life (OHRQoL) in comparison with conventional dentures (CDs); however, the conclusiveness of evidence on the clinical effectiveness and value for money of IODs versus CDs remains unclear. Purpose To review how the added value of IODs is demonstrated in the literature. Materials and methods MEDLINE, EMBASE, and the Cochrane Database were searched for randomized control trials, controlled clinical trials, and prospective cohort studies containing evaluations of the economic and health benefits and costs of IODs. Information about the clinical effectiveness, such as magnitude of bite forces or chewing efficacy, OHRQoL, costs, and cost‐effectiveness of IODs, was extracted. Results A total of 17 articles were included, reporting 15 economic evaluations: 11 cost‐utility analyses (CUAs), 2 of which were combined with a cost‐effectiveness analysis (CEA), and 2 cost–benefit analyses (CBAs). Seven CUAs used the Oral Health Impact Profile (OHIP) questionnaire while four used satisfaction questionnaires to assess the OHRQoL. One study applied quality‐adjusted prosthesis years (QAPYs) for this purpose. The CBAs expressed both the beneficial outcome and the costs of the IOD in monetary terms. The included studies employed a large variety of economic evaluation methods, which limited cross‐study comparability. Conclusions On the basis of existing economic evaluations, IODs have frequently been suggested to be a cost‐efficient treatment alternative to CDs; however, the comparability between the various economic evaluation studies was limited due to the different outcome measures used. In addition, it remains unclear whether the additional health benefits of IODs outweigh the higher costs. This is largely dependent on the decision maker's valuation of oral health outcomes. Future research is encouraged to further elucidate patient willingness to pay for IODs and the societal return on investing in IODs more generally.

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Section: Discussionsupporting

confidence: 70%

“…The cost‐effectiveness of an IOD on four to six maxillary implants was calculated in only one study 40 . All others addressed an IOD in the lower jaw 28–39 …”

Section: Resultsmentioning

confidence: 99%

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What is the evidence on the added value of implant‐supported overdentures? A review

Winkel

Heijens

Listl

et al. 2021

Clin Implant Dent Rel Res

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“…It is important to emphasize, however, that these findings are applicable to the specific treatment modality described in the current study, and should not be extrapolated to other protocols. Immediately loaded implant‐supported overdenture were shown to be associated with higher long‐term maintenance costs . Therefore, the sustained maintenance costs over future years should be factored in when treatment planning an edentulous case, since the vast majority of patients who seek these treatment modalities are either elderly individuals or patients with low socioeconomic status.…”

Section: Discussionmentioning

confidence: 99%

Cost minimization analysis of a long‐term randomized clinical trial of patients treated with immediately loaded implant‐supported fixed prosthesis

Alfadda

Furzer

2017

Clin Implant Dent Rel Res

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“…As próteses sobre implantes garantem melhor atividade neuromuscular, portanto, auxiliam no processo de mastigação (van der Bilt, van Kampen, & Cune, 2006;Fueki, Kimoto, Ogawa, & Garrett, 2007;Geckili et al, 2012) devido a sua estabilidade e capacidade de retenção (Naert, Quirynen, Hooghe, & van Steenberghe, 1994;Cordioli, Majzoub, & Castagna, 1997;de Souza et al, 2016;Alfadda & Attard, 2017). Entretanto, com o passar do tempo, as próteses fixas sobre implantes podem apresentar algumas limitações para o paciente, tendo em vista a diminuição de sua coordenação motora com o avançar da idade e, consequentemente, a dificuldade em promover a higienização (Delwel et al, 2017).…”

Section: Introductionunclassified

Substituição de prótese inferior tipo protocolo para overdenture em paciente geriátrico: relato de caso

Sousa

Júnior

Cerda-Rizo

et al. 2021

RSD

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O endentulismo é um problema de saúde no Brasil, pois afeta o paciente gerando problemas psíquicos, sociais e funcionais. Os tratamentos com próteses sobre implantes devem ser muito bem planejados e executados, para ter uma adequada manutenção e longevidade. Desse modo o presente trabalho relata caso clínico de substituição de uma prótese do tipo protocolo de Branemark inferior por uma overdenture, considerando os princípios biopsicossociais do paciente. Paciente do sexo feminino, 92 anos de idade, compareceu projeto de extensão Overdenture para desdentados totais na geriatria na Escola Técnica de Saúde (ESTES-UFU), queixando-se de halitose, dificuldade de higienização do protocolo e desconforto geral com as próteses. O exame clínico intraoral revelou a presença de uma prótese mucosoportada superior e uma prótese fixa do tipo protocolo inferior, a qual apresentava uma inadequada estabilidade oclusal, alto grau de desgaste dos dentes de resina e presença de biofilme, revelando uma inabilidade da paciente de realizar a correta higienização, visto a perda de coordenação motora dada pela idade da paciente. O plano de tratamento foi definido pela adequação do meio bucal, orientação de escovação e posteriormente a confecção de duas próteses novas. Foram confeccionadas uma prótese convencional superior e uma prótese overdenture inferior sobre pilares Equator, aproveitando os 4 implantes em adequada posição. Após a instalação das próteses, foi possível diagnosticar um maior conforto mastigatório e uma melhora na higienização. Assim, conseguiu-se promover qualidade e longevidade no tratamento de acordo com a necessidade e idade da paciente, devolvendo a saúde oral e a autoestima.

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A cost analysis of a long‐term prospective study of patients treated with immediately loaded implant‐supported mandibular overdentures

Abstract: This long-term study confirmed that ILP is associated with higher maintenance costs and varying subjective QoL measurements. Clinical treatment protocols should be evaluated over a long period and address different perspectives.

Cited by 10 publications

References 19 publications

What is the evidence on the added value of implant‐supported overdentures? A review

What is the evidence on the added value of implant‐supported overdentures? A review

Cost minimization analysis of a long‐term randomized clinical trial of patients treated with immediately loaded implant‐supported fixed prosthesis

Substituição de prótese inferior tipo protocolo para overdenture em paciente geriátrico: relato de caso

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