这是植入物还是牙? - 对管理"无法恢复"的牙进行成本时间分析
Maria Bruhnke1, Michael Naumann1, Florian Beuer1
1Department of Prosthodontics, Geriatric Dentistry and Craniomandibular Disorders - Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt - Universität zu Berlin and Berlin Institute of Health, Aßmannshauser Straße 4-6, 14197, Berlin, Germany.
Journal of dentistry
|August 1, 2023
概括
强迫正牙挤出 (FOE) 恢复严重损坏的牙最初比植入式支冠 (ISC) 更具成本效益. 虽然FOE需要更多的治疗时间,但这两种方法都有类似的间接成本.
科学领域:
- 牙科医学 牙科医学
- 在口腔外科手术中.
- 恢复性牙科 恢复性牙科
背景情况:
- 严重受损的牙的管理,带有底缺陷, presents一个治疗困境.
- 将保留这些牙的成本效益与提取和植入式支冠 (ISC) 的成本效益进行比较对于临床和经济决策至关重要.
- 与ISC进行强制正牙挤出和修复 (FOE) 的经济分析有限.
研究的目的:
- 进行成本-时间分析,比较FOE与提取,以及严重损伤牙的ISC.
- 从私人付款人的角度评估德国医疗保健中的直接医疗和间接 (机会) 成本.
- 提供数据,以便在恢复性牙科中进行知情的治疗规划和资源分配.
主要方法:
- 一项前性队列研究,涉及42名患者 (每组21名) 在大学环境中接受治疗.
- 微成本和国家费用项目被用于评估初始,主动,恢复和支持性护理的成本.
- 患者在治疗后至少一年被跟踪,使用曼-惠特尼-U测试进行统计分析.
主要成果:
- 与FOE (中位数:1601.46欧元) 相比,植入式冠冕 (ISC) 的直接医疗费用 (中位数:3439.05欧元) 显著更高.
- ISC需要比FOE (中位数:12) 更多的预约 (中位数:14.5).
- FOE涉及较长的累计治疗时间 (中位数:402.5分钟) 与ISC (中位数:250分钟),导致可比的机会成本 (FOE:304.50€;ISC:328.98€).
结论:
- 植入物支冠 (ISC) 与较高的初始直接医疗费用和更多的预约相比,强制性正牙挤出和修复 (FOE) 有关.
- 虽然FOE需要更多的椅子时间,但两种治疗方式的整体机会成本相似.
- 进一步的长期成本效益研究是必要的,以充分阐明这些牙科治疗策略的经济影响.
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