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Cost-effectiveness of mandibular two-implant overdentures and conventional dentures in the edentulous elderly

Lookup NU author(s): Professor Mark Thomason

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Abstract

Implementation of new therapies is usually governed by financial considerations, so efficacy studies should also include cost comparisons. The cost and effectiveness of mandibular conventional dentures (CD, n = 30) and two-implant overdentures (IOD, n = 30) were compared in elderly subjects. Effectiveness (Oral Health Impact Profile, OHIP-20) and cost were measured up to one year post-treatment. Data for subsequent years were estimated by the Delphi method. Using an average life expectancy of 17.9 years, the equalized annual costs (in Canadian dollars) were $399 for CD and $625 for IOD (p < 0.001), and the equalized annual values for the outcome (OHIP-20) were 47.0 for CD and 31.3 for IOD treatment (p < 0.05). These values translate into a yearly additional cost for IOD treatment of $14.41 per OHIP-20 point. These results are key to the implementation of programs to provide this form of therapy for edentulous adults.


Publication metadata

Author(s): Heydecke G, Penrod JR, Takanashi Y, Lund P, Feine JS, Thomason JM

Publication type: Article

Publication status: Published

Journal: Journal of Dental Research

Year: 2005

Volume: 84

Issue: 9

Pages: 794-799

ISSN (print): 0022-0345

ISSN (electronic): 1544-0591

Publisher: Sage Publications, Inc.

URL: http://dx.doi.org/10.1177/154405910508400903

DOI: 10.1177/154405910508400903

PubMed id: 16109986


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