J Adv Prosthodont.  2016 Feb;8(1):53-61. 10.4047/jap.2016.8.1.53.

The analysis of cost-effectiveness of implant and conventional fixed dental prosthesis

Affiliations
  • 1School of Dentistry, Chonnam National University, Gwangju, Korea.
  • 2Northwestern University, USA.
  • 3Department of Prosthodontics, School of Dentistry, Dental Science Research Institute, Chonnam National University, Gwangju, Korea.
  • 4Department of Orthodontics, School of Dentistry, Dental Science Research Institute, Chonnam National University, Gwangju, Korea. hjlim@jnu.ac.kr

Abstract

PURPOSE
This study conducted an analysis of cost-effectiveness of the implant and conventional fixed dental prosthesis (CFDP) from a single treatment perspective.
MATERIALS AND METHODS
The Markov model for cost-effectiveness analysis of the implant and CFDP was carried out over maximum 50 years. The probabilistic sensitivity analysis was performed by the 10,000 Monte-Carlo simulations, and cost-effectiveness acceptability curves (CEAC) were also presented. The results from meta-analysis studies were used to determine the survival rates and complication rates of the implant and CFDP. Data regarding the cost of each treatment method were collected from University Dental Hospital and Statistics Korea for 2013. Using the results of the patient satisfaction survey study, quality-adjusted prosthesis year (QAPY) of the implant and CFDP strategy was evaluated with annual discount rate.
RESULTS
When only the direct cost was considered, implants were more cost-effective when the willingness to pay (WTP) was more than 10,000 won at 10th year after the treatment, and more cost-effective regardless of the WTP from 20th year after the prosthodontic treatment. When the indirect cost was added to the direct cost, implants were more cost-effective only when the WTP was more than 75,000 won at the 10th year after the prosthodontic treatment, more than 35,000 won at the 20th year after prosthodontic treatment.
CONCLUSION
The CFDP was more cost-effective unless the WTP was more than 75,000 won at the 10th year after prosthodontic treatment. But the cost-effectivenss tendency changed from CFDP to implant as time passed.

Keyword

Cost-effectiveness; Implant; CFDP; QAPY; Markov model; Monte-Carlo simulation; Cost-effectiveness acceptability curve
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