Abstract
BackgroundWhen dealing with the replacement of one missing tooth, the patient has the option of choosing between different types of treatment interventions. Several important factors play a role in his decision-making process, including his limited financial means and his efforts to solve the problem of missing teeth as effectively as possible. The main goal of the study is the economic-clinical evaluation of implant treatment, as a surgical-prosthetic method in dentistry, in case of replacement of one missing tooth of the molar area.MethodsCost-utility analysis from the patient's perspective is used for evaluation. The selected comparator is a purely prosthetic solution with the help of a three-unit fixed dental prosthesis. Cost-utility analysis is modelled using Markov models, which consider a 30-year time horizon.ResultsBased on the results of modelling, the intervention evaluated by the patient, i.e. treatment with the help of implant-supported single crown, brings exactly 15.31 quality-adjusted prosthesis years (QAPY) after 30 years. The value of incremental cost-utility ratio amounted to USD − 1434.ConclusionThe results of the cost-utility analysis suggest that implant treatment with an implant-supported single crown is more cost-effective than treatment with the three-unit fixed dental prosthesis.
Highlights
When dealing with the replacement of one missing tooth, the patient has the option of choosing between different types of treatment interventions
According to study [7], the cost of double implant-supported bridge (DIB) reimbursement is calculated as one third of the cost of fixed dental prosthesis (FDP) together with twice the cost of implant-supported single crown (ISC)
In order to clarify and simplify the input costs of ISC and FDP health conditions, their mean value was used in the model
Summary
When dealing with the replacement of one missing tooth, the patient has the option of choosing between different types of treatment interventions. Several important factors play a role in his decision-making process, including his limited financial means and his efforts to solve the problem of missing teeth as effectively as possible. The main goal of the study is the economic-clinical evaluation of implant treatment, as a surgical-prosthetic method in dentistry, in case of replacement of one missing tooth of the molar area. The development of technologies and new methods of treatment does not avoid the field of dentistry either. Patients are generally very often faced with the decision on choosing the type of treatment, and the financial side of things play an important role in their decision, sometimes the most important. Other factors that influence their final decisions include aesthetics, durability of the
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