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Comparative cost-analysis for removable complete dentures fabricated with conventional, partial, and complete digital

Lucio Lo Russo1, Khrystyna Zhurakivska2, Laura Guida3

  • 1Professor of Oral Diseases, Department of Clinical and Experimental Medicine, School of Dentistry, University of Foggia, Foggia, Italy.

The Journal of Prosthetic Dentistry
|June 6, 2022
PubMed
Summary

Digital workflows for fabricating removable complete dentures are more efficient and cost-effective than conventional methods. Complete digital workflows offer the lowest costs and fastest break-even points for dental practices adopting new technologies.

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Area of Science:

  • Dental Technology
  • Biomaterials Engineering
  • Prosthodontics

Background:

  • Cost-effectiveness analysis of removable complete denture fabrication workflows is crucial before adopting new technologies.
  • Conventional methods lack comprehensive cost-benefit data for digital alternatives.

Purpose of the Study:

  • To compare clinical and laboratory costs of conventional (C), partial digital (M), and complete digital (D) workflows for removable complete dentures.
  • To determine break-even points for implementing digital technologies in denture fabrication.

Main Methods:

  • Collected clinical and laboratory costs from 10 Italian dental labs/clinics.
  • Evaluated manufacturing time, material costs, labor, shipping, and capital expenses.
  • Utilized generalized estimating equations for statistical analysis and performed cost minimization/sensitivity analyses.

Main Results:

  • Digital workflows (M and D) significantly reduced manufacturing time and opportunity costs compared to conventional (C).
  • Workflow M saved $81-$169; Workflow D saved an additional $34.
  • Break-even points for digital workflows ranged from 73 to 933 dentures, depending on manufacturing options.

Conclusions:

  • Digital workflows (M and D) are more efficient and cost-effective for removable complete dentures.
  • Workflow D demonstrated the lowest costs and break-even point.
  • Utilizing 3D-printed denture teeth further enhanced cost savings compared to milled or stock options.