학술논문
Patient-reported outcome and cost-effectiveness analysis of milled and conventionally fabricated complete dentures in a university clinic: A retrospective study.
Document Type
Academic Journal
Author
Otake R; Graduate student, Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Yushima, Bunkyo, Tokyo, Japan.; Kanazawa M; Professor, Digital Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Yushima, Bunkyo, Tokyo, Japan. Electronic address: m.kanazawa.gerd@tmd.ac.jp.; Iwaki M; Assistant Professor, Oral Prosthetic Engineering, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Yushima, Bunkyo, Tokyo, Japan.; Soeda Y; Dental Resident, Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Yushima, Bunkyo, Tokyo, Japan.; Hada T; Part-time lecturer, Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Yushima, Bunkyo, Tokyo, Japan.; Katheng A; Graduate student, Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Yushima, Bunkyo, Tokyo, Japan; Staff Member of Restorative Department, Faculty of Dentistry, Naresuan University, Phitsanulok, Thailand.; Komagamine Y; Lecturer, Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Yushima, Bunkyo, Tokyo, Japan.; Minakuchi S; Professor, Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Yushima, Bunkyo, Tokyo, Japan.
Source
Publisher: Mosby-Year Book Country of Publication: United States NLM ID: 0376364 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1097-6841 (Electronic) Linking ISSN: 00223913 NLM ISO Abbreviation: J Prosthet Dent Subsets: MEDLINE
Subject
Language
English
Abstract
Statement of Problem: The custom disk is a novel method of complete denture fabrication; however, patient-reported outcomes and fabrication costs are unknown.
Purpose: The purpose of this retrospective study was to evaluate general patient satisfaction with complete dentures fabricated through the custom disk method. In addition, a comparative cost-effectiveness analysis was conducted for the custom disk method and conventional removable complete dentures.
Material and Methods: Complete dentures were fabricated for 44 edentulous participants by using the custom disk method (n=20) or the conventional removable complete denture (n=24). General patient satisfaction was measured by using visual analog scales before and after denture fabrication and compared by using the Wilcoxon signed-rank test (α=.05); the fabrication cost for each method was investigated and compared by using the Mann-Whitney U test (α=.05). Cost-effectiveness was analyzed with the incremental cost-effectiveness ratio as incremental cost per change in general patient satisfaction for the custom disk method with respect to the conventional removable complete denture.
Results: The median general patient satisfaction with the custom disk method and conventional removable complete denture after the intervention was 84.0 mm and 91.0 mm, respectively. General patient satisfaction with the custom disk method was significantly higher after the intervention (P=.002). The median labor costs for the custom disk method and conventional removable complete denture were 24 516 and 36 583 Japanese yen, respectively, and the difference was statistically significant (P<.001). The median of the total cost of the custom disk method and the conventional removable complete denture was 41 104 and 45 276 Japanese yen, respectively, and the difference was statistically significant (P=.004). The incremental cost-effectiveness ratio was -251.4.
Conclusions: The custom disk method improved general patient satisfaction. The labor and total costs of the custom disk method were significantly lower than those of the conventional removable complete denture. The incremental cost-effectiveness ratio demonstrated that the custom disk method was more cost-effective than the conventional removable complete denture.
(Copyright © 2022 Editorial Council for The Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.)
Purpose: The purpose of this retrospective study was to evaluate general patient satisfaction with complete dentures fabricated through the custom disk method. In addition, a comparative cost-effectiveness analysis was conducted for the custom disk method and conventional removable complete dentures.
Material and Methods: Complete dentures were fabricated for 44 edentulous participants by using the custom disk method (n=20) or the conventional removable complete denture (n=24). General patient satisfaction was measured by using visual analog scales before and after denture fabrication and compared by using the Wilcoxon signed-rank test (α=.05); the fabrication cost for each method was investigated and compared by using the Mann-Whitney U test (α=.05). Cost-effectiveness was analyzed with the incremental cost-effectiveness ratio as incremental cost per change in general patient satisfaction for the custom disk method with respect to the conventional removable complete denture.
Results: The median general patient satisfaction with the custom disk method and conventional removable complete denture after the intervention was 84.0 mm and 91.0 mm, respectively. General patient satisfaction with the custom disk method was significantly higher after the intervention (P=.002). The median labor costs for the custom disk method and conventional removable complete denture were 24 516 and 36 583 Japanese yen, respectively, and the difference was statistically significant (P<.001). The median of the total cost of the custom disk method and the conventional removable complete denture was 41 104 and 45 276 Japanese yen, respectively, and the difference was statistically significant (P=.004). The incremental cost-effectiveness ratio was -251.4.
Conclusions: The custom disk method improved general patient satisfaction. The labor and total costs of the custom disk method were significantly lower than those of the conventional removable complete denture. The incremental cost-effectiveness ratio demonstrated that the custom disk method was more cost-effective than the conventional removable complete denture.
(Copyright © 2022 Editorial Council for The Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.)