Outcomes Assessment of Treating Completely Edentulous Patients with a Fixed Implant-Supported Profile Prosthesis Utilizing a Graftless Approach. Part 2: Patient-Related Outcomes

Alzoubi, Fawaz; Bedrossian, Edmond; Wong, Allen; Ferrell, Douglas J.; Park, Chan; Indresano, Thomas

doi:10.11607/jomi.5521

Cited by 7 publications

(5 citation statements)

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“…The implementation of such a rehabilitation consists in a surgical stage, with placement of several dental implants (usually four or six) and a prosthetic stage, consisting of fabrication of a Denture that is fixed on the implants. The implant‐retained prosthesis offers a high performance, giving to the patient a good chewing function and overall comfort 22,23 . However, this solution is characterised by a high cost, and, in cases of extensive bone atrophy, the placement of multiple implants is not always possible.…”

Section: Discussionmentioning

confidence: 99%

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Cost/effectiveness analysis of treatment options for the rehabilitation of the total edentulous mandible

Zhurakivska

Luciano

Caponio

et al. 2023

J of Oral Rehabilitation

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Background Several solutions are available for the rehabilitation of edentulous jaws. Each treatment option is characterised by specific advantages and drawbacks. Objective The aim of this research was to perform a cost‐effectiveness (CE) analysis of the main rehabilitative solutions of totally edentulous mandibles. Methods Decision tree models were built using TreeAge Pro Healthcare 2021 software to compare the following strategies: Conventional Denture (CD), Overdenture retained by two implants (OD‐2), Overdenture retained by a bar on two implants (ODbar), Overdenture retained by 4 mini‐implants (ODmini) and Fixed denture supported by 4 implants (FD). Costs were estimated using data from public rate tables. Effectiveness measures were obtained from a meta‐analysis of literature data, normalising the different scales in 0–1 range. A value of 30 000€ per 1 normalised utility points was set as threshold of willingness to pay (WTP). Probabilistic sensitivity analysis (PSA) with 1000 Monte Carlo Simulations was performed to characterise uncertainty. Results Total costs ranged between 1804,40€ for CD and 10 008,80€ for FD rehabilitations, with an effectiveness of 0,69 and 0,95 normalised points (0–1 scale) for the two solutions. The ODbar resulted to be the most CE strategy at the established WTP value, with the highest Net Monetary Benefit (22 001,20€), followed by the OD‐2 rehabilitation (21 866,80€). PSA analysis confirmed the dominance of OD‐2 and ODbar strategies, confirming a net separation from the other alternatives. Conclusion OD stabilised by 2 implants could represent a good rehabilitative solution for patients with edentulous mandible, being a good trade‐off in terms of costs and effectiveness. Nevertheless, a standardised measure of oral health‐related quality of life is needed to obtain more reliable results.

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Section: Discussionmentioning

confidence: 99%

“…The implant-retained prosthesis offers a high performance, giving to the patient a good chewing function and overall comfort. 22,23 However, this solution is characterised by a high cost, and, in cases of extensive bone atrophy, the placement of multiple implants is not always possible.…”

Section: Effect Of Uncertaintymentioning

confidence: 99%

Cost/effectiveness analysis of treatment options for the rehabilitation of the total edentulous mandible

Zhurakivska

Luciano

Caponio

et al. 2023

J of Oral Rehabilitation

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“…In the majority of cases, zygomatic implants are restored using ISFCD. 30,37 In this case report, a quad zygoma approach was used due to the severe bone resorption pattern negating conventional implant treatment. Defects resulting from this advanced resorption was restored using prosthetic solutions by means of pink ceramic to restore missing soft tissue and underlying bone.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, the advanced nature of the surgery dictates advanced training and experience in such treatment modality. In the majority of cases, zygomatic implants are restored using ISFCD 30,37 …”

Section: Discussionmentioning

confidence: 99%

Fixed prosthetic rehabilitation of a patient with Papillon‐Lefevre syndrome supported by a Quad Zygoma Approach: A clinical report

Alzoubi

Wong

2022

Special Care in Dentistry

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Papillon-Lefevere syndrome (PLS) is a rare disorder with severe oral manifestations resulting in premature tooth loss at an early stage of life. As a result, extensive bone resorption pattern in the maxilla negates conventional implant treatment in the majority of cases. This clinical report describes a prosthetic rehabilitation revision of a 26-year-old female diagnosed with PLS using an implant supported fixed complete denture with a quad zygoma approach. A 1 year follow-up is also presented.

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“…For example, implant placement in the esthetic region requires consideration of criteria of esthetic implant success . Furthermore, patient‐perceived outcomes should be taken into account in conjunction with clinical outcomes …”

Section: Clinical Research Designmentioning

confidence: 99%

Minimizing risk of bias in clinical implant research study design

Kotsakis

2019

Periodontology 2000

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The field of clinical implant research has been flourishing in recent years. The number of related publications has been on the rise, as has the number of dental journals. However, the information gathered from surveillance studies on the quality of reporting and methodologic quality of published studies is unsettling. An important challenge faced by researchers endeavoring to conduct implant studies is how to factor the differences between implant surfaces and dental surfaces in the study design. Given the considerable experience that has been gained in the research methodology of the study of teeth and periodontal tissues, clinical implant research studies have often been conducted without giving much consideration to the fundamental differences between implants and teeth. This article discusses study design related to implant research in view of these differences. Observational and interventional study design methodology is discussed, and guidelines are provided to inform researchers on how to minimize bias in the design and implementation of these clinical studies when implant‐related outcomes are studied.

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Outcomes Assessment of Treating Completely Edentulous Patients with a Fixed Implant-Supported Profile Prosthesis Utilizing a Graftless Approach. Part 2: Patient-Related Outcomes

Cited by 7 publications

References 0 publications

Cost/effectiveness analysis of treatment options for the rehabilitation of the total edentulous mandible

Cost/effectiveness analysis of treatment options for the rehabilitation of the total edentulous mandible

Fixed prosthetic rehabilitation of a patient with Papillon‐Lefevre syndrome supported by a Quad Zygoma Approach: A clinical report

Minimizing risk of bias in clinical implant research study design

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