Abstract

Purpose:Two interforaminal dental implants in is a common treatment option for denture retention in edentulous patients. Economic methods to assess the patient’s quality of life include the willingness to pay (WTP) for implant treatment and willingness to accept (WTA) to forgo implant treatment. The purpose of this study was to assess the monetary value of implant retained complete dentures using WTP and WTA.Methods:We included a convenience sample of 16 patients from a previously published cohort study on the survival of immediately loaded implants in edentulous patients to assess WTP and WTA for this treatment option.Results:The average maximum WTP for implant treatment was 4606 (95% CI: 2991-6222) Swiss Francs. Out of the 16 patients, only 5 were willing to trade their implants for money, with a mean WTA of CHF 33'500 (range: 3000-100'000).All patients would agree to undergo the implant surgery procedure again.Conclusion:The results of the present study show that most patients are not willing to trade the increase in quality of life after implant surgery against money, suggesting that WTA exceeds by large WTP for the same health condition.

Highlights

  • IntroductionTwo interforaminal dental implants in edentulous patients for denture retention is a common and cost-effective treatment option [1 - 5] It has been shown that this simple yet straightforward treatment modality substantially increases the quality of life of patients [6, 7]

  • Two interforaminal dental implants in edentulous patients for denture retention is a common and cost-effective treatment option [1 - 5] It has been shown that this simple yet straightforward treatment modality substantially increases the quality of life of patients [6, 7] .A number of studies have evaluated the increase in quality of life of edentulous patients when treated with implant-retained complete dentures [4 - 6, 8, 9]

  • Economic methods to estimate the monetary value of an intervention include willingness to pay (WTP) and the willingness to accept (WTA) approach [10 - 13]

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Summary

Introduction

Two interforaminal dental implants in edentulous patients for denture retention is a common and cost-effective treatment option [1 - 5] It has been shown that this simple yet straightforward treatment modality substantially increases the quality of life of patients [6, 7]. A number of studies have evaluated the increase in quality of life of edentulous patients when treated with implant-retained complete dentures [4 - 6, 8, 9]. Economic methods to estimate the monetary value of an intervention include willingness to pay (WTP) and the willingness to accept (WTA) approach [10 - 13]. Esfandiari et al (2009) have evaluated the preferences of patients for implant overdentures in a Canadian setting using the WTP and WTA approach from the societal perspective [14]. Patient preferences for implant-retained overdentures in the edentulous lower jaw from a Swiss perspective using WTP and WTA were assessed. We adopted a patient's perspective that is more in line with the payment policy for dental care in Switzerland as dental care is usually not covered by the compulsory health insurance system

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