The cost-effectiveness of tooth preservation vs implant placement in severe periodontal disease patients: a systematic review.

IF 1.3 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Quintessence international Pub Date : 2024-01-23 DOI:10.3290/j.qi.b4500025

Disha Nagpal, Lola Ibraimova, Arto Ohinmaa, Liran Levin

{"title":"The cost-effectiveness of tooth preservation vs implant placement in severe periodontal disease patients: a systematic review.","authors":"Disha Nagpal, Lola Ibraimova, Arto Ohinmaa, Liran Levin","doi":"10.3290/j.qi.b4500025","DOIUrl":null,"url":null,"abstract":"Objectives: The prevalence and the economic burden of periodontal disease are high. To save or replace diseased teeth, an objective prognosis assessment using the long-term predictability of the various treatment options should be performed. As dental implants have become a treatment of choice for replacing missing teeth, the number of implant failures and complications has also increased. The objective of this review was to compare the cost-effectiveness of saving and maintaining the teeth vs replacing them with dental implants in patients with severe periodontal disease (with hopeless or questionable teeth).Method and materials: A database search was conducted using Medline (OVID), Embase, Web of Science, and CINAHL electronic sources until July 2023. Two reviewers reviewed the papers in accordance with the specific selection criteria after choosing the abstracts that met the initial selection criterion for full article retrieval.Results: Twelve articles were included, of which nine articles discussed the cost-effectiveness of preserving teeth in severe periodontal disease and three articles discussed the effectiveness of implants that replaced the periodontally compromised teeth. It was found that placing and maintaining implants was more costly than properly treating and maintaining periodontally compromised teeth. Supportive periodontal treatment contributed the most to the cost during the periodontal treatment.Conclusions: Implants are an effective choice to replace missing teeth; however, these are not permanent, present complications, and require strict maintenance. Thus, when deciding whether to maintain a periodontally compromised tooth or to replace it with a dental implant, in terms of cost-effectiveness, implant maintenance cost as well as the cost associated with treating implant complications should be considered. This cost seems to surpass the cost of treatment and maintenance of periodontally compromised teeth.","PeriodicalId":20831,"journal":{"name":"Quintessence international","volume":"0 0","pages":"76-85"},"PeriodicalIF":1.3000,"publicationDate":"2024-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Quintessence international","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3290/j.qi.b4500025","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}

引用次数: 0

Abstract

Objectives: The prevalence and the economic burden of periodontal disease are high. To save or replace diseased teeth, an objective prognosis assessment using the long-term predictability of the various treatment options should be performed. As dental implants have become a treatment of choice for replacing missing teeth, the number of implant failures and complications has also increased. The objective of this review was to compare the cost-effectiveness of saving and maintaining the teeth vs replacing them with dental implants in patients with severe periodontal disease (with hopeless or questionable teeth).

Method and materials: A database search was conducted using Medline (OVID), Embase, Web of Science, and CINAHL electronic sources until July 2023. Two reviewers reviewed the papers in accordance with the specific selection criteria after choosing the abstracts that met the initial selection criterion for full article retrieval.

Results: Twelve articles were included, of which nine articles discussed the cost-effectiveness of preserving teeth in severe periodontal disease and three articles discussed the effectiveness of implants that replaced the periodontally compromised teeth. It was found that placing and maintaining implants was more costly than properly treating and maintaining periodontally compromised teeth. Supportive periodontal treatment contributed the most to the cost during the periodontal treatment.

Conclusions: Implants are an effective choice to replace missing teeth; however, these are not permanent, present complications, and require strict maintenance. Thus, when deciding whether to maintain a periodontally compromised tooth or to replace it with a dental implant, in terms of cost-effectiveness, implant maintenance cost as well as the cost associated with treating implant complications should be considered. This cost seems to surpass the cost of treatment and maintenance of periodontally compromised teeth.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

重度牙周病患者的牙齿保存与种植体植入的成本效益：一项系统综述。

背景：牙周病的患病率和经济负担较高。为了挽救或替换患病的牙齿，应使用各种治疗方案的长期可预测性进行客观的预后评估。随着种植牙成为替换缺失牙齿的首选治疗方法，种植失败和并发症的数量也在增加。目的：比较在患有严重牙周病（牙齿无望或有问题）的患者中，保存和维护牙齿与用种植体替换牙齿的成本效益。方法：在2023年7月之前，使用Medline（OVID）、EMBASE、Web of Science、CINAHL电子源进行数据库搜索。两位评审员在选择符合全文检索初始选择标准的摘要后，根据特定的选择标准对论文进行了评审。结果：纳入了12篇文章，其中9篇文章讨论了在严重牙周病中保存牙齿的成本效益，3篇文章探讨了种植体替代牙周受损牙齿的有效性。研究发现，放置和维护植入物比正确治疗和维护牙周受损的牙齿更昂贵。在牙周治疗期间，支持性牙周治疗对费用的贡献最大。结论：种植体是替换缺失牙齿的有效选择，但它们不是永久性的，存在并发症，需要严格的维护。因此，在决定是维护牙周受损的牙齿还是用牙科植入物替换时，就成本效益而言，应考虑植入物维护成本以及与治疗植入物并发症相关的成本。这一费用似乎超过了牙周受损牙齿的治疗和维护费用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Quintessence international 医学-牙科与口腔外科

CiteScore

3.30

自引率

5.30%

发文量

审稿时长

1 months

期刊介绍： QI has a new contemporary design but continues its time-honored tradition of serving the needs of the general practitioner with clinically relevant articles that are scientifically based. Dr Eli Eliav and his editorial board are dedicated to practitioners worldwide through the presentation of high-level research, useful clinical procedures, and educational short case reports and clinical notes. Rigorous but timely manuscript review is the first order of business in their quest to publish a high-quality selection of articles in the multiple specialties and disciplines that encompass dentistry.