EVALUATING THE COST-EFFECTIVENESS OF DENTAL IMPLANT AND PROSTHESIS INTERVENTIONS: A SYSTEMATIC REVIEW

Year 2021, Volume: 6 Issue: 3, 605 - 620, 26.11.2021

Lütfiye Tekpınar Nimetcan Mehmet Vahit Yiğit

Abstract

Aim: Aim of this review is to compare cost-effectiveness in the implant and prosthesis for missing teeth, and to explore the methods used in cost-effectiveness analysis using published studies.
Methods: A systematic review was conducted on cost-effectiveness analysis in the dental implant and prosthesis for single, partial or complete replacement via PubMed, Scopus, Web of Science, EBSCO and Cochrane Library databases. Review was restricted to published articles in English language without time limit. Reporting quality assessment of dental replacement cost-effectiveness analysis used the Consensus Health Economic Criteria (CHEC) extended checklist guidelines.
Findings: Of the 526 publications identified initially, a total of 17 studies on the cost-effectiveness of dental implants and prosthesis were included in the systematic review. Of these, 8 (47.1%) were originated in the last four years. Most of articles (n=8, 47.1%) were on the cost-effectiveness for single- tooth replacement. The median of reporting quality of studies, assessed by the CHEC extended checklist is 74% (from 55% to 90%). Ten studies were able to define the most cost-effective among the interventions compared. Most studies were in concurrence that over the long term, dental implants represent a cost-effective treatment option. The methodology for the economic evaluation of prosthetic treatments is quite complex. Although there are concepts such as QAPY and QATY introduced into the literature, their applications have remained rather limited and not developed.
Conclusion: The majority of studies were able to provide conclusions regarding the most cost-effective intervention among the different options compared: this will assist in healthcare decision-making and resource allocation. For edentation, implant was cost-effective treatment option in comparison with dental prosthesis.

Keywords

Tooth Lost, Dental Implants, Dental Prosthesis, Cost-Effectiveness, Health Economics

References

• Al‐Rafee, M. A. (2020). The epidemiology of edentulism and the associated factors: A literature Review. Journal of Family Medicine and Primary Care, 9, 1841–1843.
• Antonarakis, G., Prevezanos, P., Gavric, J., & Christou, P. (2014). Agenesis of Maxillary Lateral Incisor and Tooth Replacement: Cost-Effectiveness of Different Treatment Alternatives. The International Journal of Prosthodontics, 27(3), 257–263.
• Aslam A, Khan DA, Hassan SH, Ahmed B. Ceramic fracture in metal-ceramic restorations: the aetiology. Dent Update. 2017;44:448-56.
• Bernabe, E., Marcenes, W., Hernandez, C. R., Bailey, J., Abreu, L. G., Alipour, V., ... Kassebaum, N. J. (2020). Global, Regional, and National Levels and Trends in Burden of Oral Conditions from 1990 to 2017: A Systematic Analysis for the Global Burden of Disease 2017 Study. Journal of Dental Research, 99(4), 362–373.
• Bouchard, P., Renouard, F., Bourgeois, D., Fromentin, O., Jeanneret, M. H., & Beresniak, A. (2009). Cost-effectiveness modeling of dental implant vs. bridge. Clinical Oral Implants Research, 20(6), 583–587.
• Chun, J. S., Har, A., Lim, H. P., & Lim, H. J. (2016). The analysis of cost-effectiveness of implant and conventional fixed dental prosthesis. Journal of Advanced Prosthodontics, 8(1), 53–61.
• Della Vecchia, M. P., Leles, C. R., Cunha, T. R., Ribeiro, A. B., Sorgini, D. B., Muglia, V. A., ... de Souza, R. F. (2018). Mini-implants for mandibular overdentures: Cost- effectiveness analysis alongside a randomized trial. JDR Clinical and Translational Research, 3(1), 47–56.
• Drummond, M., Sculpher, M., Claxton, K., Stoddart, G., & Torrance, G. (2015). Methods for the economic evaluation of health care programms (4th ed.). UK: Oxford University Press.
• Evers, S., Goossens, M., de Vet, H., van Tulder, M., & Ament, A. (2005). Criteria list for assessment of methodological quality of economic evaluations: Consensus on Health Economic Criteria. International Journal of Technology Assessment in Health Care, 21(2), 240–245.
• Heydecke, G., Penrod, J. R., Takanashi, Y., Lund, P., Feine, J. S., & Thomason, J. M. (2005). Cost-effectiveness of mandibular two-implant overdentures and conventional dentures in the edentulous elderly. Journal of Dental Research, 84(9), 794–799.
• Hyffe, H. E. & Kay, E. (1992). Assessment of dental health state utilities. Community Dentistry and Oral Epidemiology. 20(5), 269-73.
• Jensen, C., Ross, J., Feenstra, T. L., Raghoebar, G. M., Speksnijder, C., Meijer, H. J. A., & Cune, M. S. (2017). Cost-effectiveness of implant-supported mandibular removable partial dentures. Clinical Oral Implants Research, 28(5), 594–601.
• Kim, S. G., & Solomon, C. (2011). Cost-effectiveness of Endodontic Molar Retreatment Compared with Fixed Partial Dentures and Single-tooth Implant Alternatives. Journal of Endodontics, 37(3), 321–325.
• Kim, Y., Park, J. Y., Park, S. Y., Oh, S. H., Jung, Y. J., Kim, J. M., ... Kim, S. K. (2014). Economic evaluation of single-tooth replacement: Dental implant versus fixed partial denture. International Journal of Oral and Maxillofacial Implants, 29(3), 600–607.
• Kobelt, G. (2013). Health Economics : An Introduction to Economic Evaluation (3rd ed.). UK: Office of Health Economics Founded.
• Korenori, A., Koji, K., Yuki, T., Murata, T., Sachiko, T. M., & Shunsuke, B. (2018). Cost- effectiveness of molar single-implant versus fixed dental prosthesis. BMC Oral Health, 18(1), 1–9.
• Listl, S., Fischer, L., & Giannakopoulos, N. N. (2014). An economic evaluation of maxillary implant overdentures based on six vs. four implants. BMC Oral Health, 14(1).
• Mainkar, A. (2017). A systematic review of the survival of teeth intentionally replanted with a modern technique and cost-effectiveness compared with single-tooth implants. Journal of endodontics, 43(12), 1963-1968.
• McKenna, G., Allen, F., Woods, N., O’Mahony, D., Cronin, M., Damata, C., & Normand, C. (2014). Cost-effectiveness of tooth replacement strategies for partially dentate elderly: A randomized controlled clinical trial. Community Dentistry and Oral Epidemiology, 42(4), 366–374.
• Misch, C. E. (2015). Dental Implant Prosthetics (2rd ed). St. Louis: Mosby Elsevier.
• Oscarson, N. (2006). Health Economic Evaluation Methods for Decision-Making in Preventive Dentistry. Sweden: Print & Media.
• Parker, M. L., Thornton-Evans, G., Wei, L., & Griffin, S. O. (2020). Prevalence of and Changes in Tooth Loss Among Adults Aged ≥50 Years with Selected Chronic Conditions — United States, 1999–2004 and 2011–2016. MMWR. Morbidity and Mortality Weekly Report, 69(21), 641–646.
• Peltzer, K., Hewlett, S., Yawson, A. E., Moynihan, P., Preet, R., Wu, F., ... Kowal, P. (2014). Prevalence of loss of all teeth (Edentulism) and associated factors in older adults in China, Ghana, India, Mexico, Russia and South Africa. International Journal of Environmental Research and Public Health, 11(11), 11308–11324.
• Peres, M. A., Macpherson, L. M. D., Weyant, R. J., Daly, B., Venturelli, R., Mathur, M. R., ... Watt, R. G. (2019). Oral diseases: a global public health challenge. The Lancet, 394(10194), 249–260.
• Pjetursson, B. E., Sailer, I., Makarov, N. A., Zwahlen, M., Thoma, D. S. (2015). All-ceramic or metal- ceramic tooth-supported fixed dental prostheses (FDPs)? A systematic review of the survival and complication rates. part II: Multiple-unit FDPs. Dent Mater, 31, 624-639.
• Pjetursson, B. E., Asgeirsson, A. G., Zwahlen, M., Sailer, I. (2014). Improvements in implant dentistry over the last decade: Comparison of survival and complication rates in older and newer publications. Int J Oral Maxillofac Implants, 29 Suppl, 308-324.
• Prasanna, B., Reddy, K. K, Harsha, T, Ramesh, G. (2012). Clinical evaluation of conventional cantilever and resin bonded cantilever fixed partial dentures: a comparative study. J Contemp Dent Prac, 13, 793- 8.
• Probst, L. F., Vanni, T., Cavalcante, D. de F. B., Silva, E. T. da, Cavalcanti, Y. W., Passeri, L. A., & Pereira, A. C. (2019). Cost-effectiveness of implant-supported dental prosthesis compared to conventional dental prosthesis. Revista de Saude Publica, 53, 1–13.
• Rajput, R., Chouhan, Z., Sindhu, M., Sundararajan, S., Raj, R., & Chouhan, S. (2016). “ A Brief Chronological Review of Dental Implant History .” International Dental Journal of Students Research, 4(3), 105–107.
• Ramamoorthi, M., & Esfandiari, S. (2016). Screw-vs. Cement-retained implantsupported prosthesis in partially edentulous patients: An oral health technology assessment report. JDR Clinical and Translational Research, 1(1), 40–50.
• Ravidà, A., Tattan, M., Askar, H., Barootchi, S., Tavelli, L., & Wang, H. L. (2019). Comparison of three different types of implant-supported fixed dental prostheses: A long-term retrospective study of clinical outcomes and cost-effectiveness. Clinical Oral Implants Research, 30(4), 295–305.
• Resnik R.R. (2020). Misch's Contemporary Implant Dentistry (4rd ed.). St. Louis: Mosby Elsevier.
• Riaz, W., Aslam, A., & Aziz, S. (2018). Dental Prosthesis.The Professional Medical Journal, 25(08), 1261-1264.
• Sagili, K. D., Muniyandi, M., Nilgiriwala, K. S., Shringarpure, K. S., Satyanarayana, S., Kirubakaran, R., ... Tharyan, P. (2018). Cost-effectiveness of GeneXpert and LED-FM for diagnosis of pulmonary tuberculosis: A systematic review. PLoS ONE, 13(10), 1–16.
• Sampaio-Fernandes, J. C. A., Silva, C.L., Pinho, A., Fernandes. P. F. (2010). A new system of adhesive fixed partial denture. Rev odontol UNESP (Online), 39, 317-22.
• Schütte U., Walter M. (2010) Oral Health-Related Quality of Life. In: Preedy V.R., Watson R.R. (Eds.) Handbook of Disease Burdens and Quality of Life Measures. Springer, New York, NY. Shah DS, Vaishnav K, Duseja S, Joshi R. Clinical evaluation of fixed dental prosthesis failures in indian population: An in vivo study. Adv Hum Biol. 2014;4:37-43.
• Teranishi, Y., Arai, K., & Baba, S. (2019). Cost-Utility Analysis of Molar Single Implant Versus Fixed Dental Prosthesis. The International Journal of Prosthodontics, 32(1), 75–81. https://doi.org/10.11607/ijp.6040
• Tyrovolas, S., Koyanagi, A., Panagiotakos, D. B., Haro, J. M., Kassebaum, N. J., Chrepa, V., & Kotsakis, G. A. (2016). Population prevalence of edentulism and its association with depression and self-rated health. Scientific Reports, 6, 1–9.
• Zhang, Q., Jin, X., Yu, M., Ou, G., Matsui, H., & Liang, X. (2017). Economic Evaluation of Implant-Supported Overdentures in Edentulous Patients: A Systematic Review. The International Journal of Prosthodontics, 30(4).
• Zitzmann, N. U., Krastl, G., Weiger, R., Kühl, S., & Sendi, P. (2013). Cost-effectiveness of anterior implants versus fixed dental prostheses. Journal of Dental Research, 92(12), 183–188.
• Zitzmann, N. U., Marinello, C. P., & Sendi, P. (2006). A cost-effectiveness analysis of implant overdentures. Journal of Dental Research, 85(8), 717–721.