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Related Experiment Video

Updated: Mar 17, 2026

Oral Health Assessment by Lay Personnel for Older Adults

Oral Health Assessment by Lay Personnel for Older Adults

Published on: February 2, 2020

Tooth replacement for partially dentate elders: A willingness-to-pay analysis.

G McKenna¹, S Tada², N Woods³

¹Centre for Public Health, Queens University Belfast, United Kingdom.

Journal of Dentistry

|July 17, 2016

Summary

This summary is machine-generated.

Partially dentate elders showed a higher willingness-to-pay for Removable Partial Dentures (RPDs) than for Shortened Dental Arch (SDA) treatment. However, both groups preferred SDA over RPDs, indicating income and prior treatment influence willingness-to-pay.

Keywords:

Clinical studies Dental implants Economic evaluation Fixed and removable prosthodontics Geriatric dentistry

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Area of Science:

Geriatric Dentistry
Prosthodontics
Health Economics

Background:

Partially dentate elders often face tooth replacement decisions, with Removable Partial Dentures (RPDs) and Shortened Dental Arch (SDA) being common options.
Understanding patient willingness-to-pay (WTP) is crucial for treatment acceptance and resource allocation in geriatric dental care.

Purpose of the Study:

To investigate the willingness-to-pay (WTP) of partially dentate elders for Removable Partial Dentures (RPDs) and Shortened Dental Arch (SDA) treatment.
To assess WTP for dental implant treatment in the same patient cohort.
To identify factors influencing WTP for different tooth replacement strategies.

Main Methods:

55 partially dentate elders from a previous RCT were surveyed using the payment card method to determine WTP for RPDs, SDA, and dental implants.
Data on social class, income, and previous treatment allocation were collected.
Mann-Whitney U tests and multiple linear regression analyses were used to compare WTP and identify predictive factors.

Main Results:

Patients previously provided with RPDs had a significantly higher WTP for RPDs (€550) compared to those who received SDA treatment (€500).
Conversely, patients previously provided with RPDs also showed a higher WTP for SDA treatment (€650) than those who received SDA (€550).
Current income and previous treatment significantly correlated with WTP. WTP for dental implants was low (€1000 market value, €500-1000 median WTP).

Conclusions:

Previous treatment experience and current income strongly influenced willingness-to-pay in this cohort.
Despite higher stated WTP for RPDs in some scenarios, both groups expressed a strong preference for functionally oriented care (SDA) over conventional RPDs.
Partially dentate elders favor functionally oriented tooth replacement strategies over conventional RPDs.