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Patient appointments during interim obturation: is it cost-effective?
G E King1, M S Chambers, J W Martin
1Section of Oncologic Dentistry and Prosthodontics, University of Texas, MD Anderson Cancer Center, Houston 77030, USA.
Summary
This study found that patients needing an interim obturator after maxillectomy required an average of 12 appointments. This highlights the significant clinical effort involved in dental oncology services.
Area of Science:
- Oral and Maxillofacial Surgery
- Dental Oncology
- Prosthodontics
Background:
- Maxillectomy patients often require interim obturators to restore function and aesthetics.
- The interim obturator service period involves complex patient management and resource allocation.
- Quantifying appointment needs is crucial for service planning and reimbursement.
Purpose of the Study:
- To determine the average number of patient appointments necessary during the interim obturator service period.
- To analyze appointment frequency for patients undergoing maxillectomy in a specialized dental oncology setting.
Main Methods:
- Retrospective analysis of 100 patient records.
- Inclusion criteria: patients who underwent maxillectomy between 1989 and 1993.
- Data collection focused on appointments within the 90-day interim obturator period.
Main Results:
- 42% of patients received a definitive prosthesis within 90 days post-surgery.
- An average of 12 appointments (range: 6-24) were needed per patient.
- This reflects the intensive clinical and laboratory work involved.
Conclusions:
- The interim obturator process demands substantial clinical and laboratory resources.
- The findings support national discussions regarding appropriate reimbursement for complex dental prosthodontic services.
- Efficient patient management is key in dental oncology care.