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Related Experiment Videos

Economic aspects of single-tooth replacement.

Urs Brägger1, Paul Krenander, Niklaus P Lang

  • 1Department of Periodontology and Fixed Prosthodontics, School of Dental Medicine, University of Bern, Freiburgstrasse 7, 3010 Bern, Switzerland. urs.braegger@zmk.unibe.ch

Clinical Oral Implants Research
|May 10, 2005
PubMed
Summary

Dental implants offer a more cost-effective solution for single-tooth replacements compared to fixed partial dentures (FPDs). Despite requiring more visits, implant-supported crowns result in lower overall treatment costs and a better cost-effectiveness ratio.

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Area of Science:

  • Dental Medicine
  • Prosthodontics
  • Health Economics

Background:

  • Single-tooth replacement is a common dental procedure.
  • Fixed partial dentures (FPDs) and implant-supported crowns are two primary treatment options.
  • Assessing the economic parameters of these options is crucial for clinical decision-making.

Purpose of the Study:

  • To compare the economic parameters of conventional three-unit fixed partial dentures (FPDs) and single crowns on implants (I) for single-tooth replacements in private practice.
  • To evaluate the cost-effectiveness of each treatment option over a short observation period (1-4 years).

Main Methods:

  • A comparative study involving 37 patients receiving FPDs (41 units) and 52 patients receiving implant crowns (59 units).
  • Economic parameters analyzed included number of visits, chair-side time, treatment costs, component costs, and laboratory expenses.

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  • Costs were calculated based on Swiss dental tariffs.

    • Main Results:

    • Implant treatment required more visits (8.1 vs. 4.8) but had similar total treatment time compared to FPDs.
    • Laboratory costs were significantly higher for FPDs (1527.8 SFr) than for implants (579.6 SFr).
    • Total treatment costs were lower for implants (3218 SFr) than for FPDs (3939.4 SFr), with implants remaining more economical even when considering opportunity costs.

    Conclusions:

    • Implant reconstructions demonstrated a more favorable cost-effectiveness ratio over a short observation period.
    • Implant treatment is economically recommended for non- or minimally restored teeth with sufficient bone.
    • The study highlights the economic advantages of dental implants for specific single-tooth replacement scenarios.