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Implementing Digital Workflow for fabrication of Implant Supported Overdentures reduces cost: Study

Written By : Dr. Shravani Dali |Medically Reviewed By : Dr. Kamal Kant Kohli Published On 2024-12-31T21:00:47+05:30  |  Updated On 1 Jan 2025 12:08 PM IST
Implementing Digital Workflow for fabrication of Implant Supported Overdentures reduces cost: Study
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A study published in Clinical Implant Dentistry and Related Research suggests that implementing a digital workflow for fabricating implant-supported overdentures reduces cost.

For edentulism, an implant supported removable complete overdenture (IOD) is an attractive solution to restore patients' chewing capacity, aesthetics, and self-esteem, however, treatment is expensive and time consuming.

A study was done to estimate the decline in costs for digitally designed and CAD/CAM fabricated IODs (3D-IODs) compared to conventionally fabricated IODs (C-IODs) at comparable general health related quality of life (GHRQoL). A randomized crossover study enrolled 36 fully edentulous patients, in whom six maxillary implants were placed together with two mandibular implants, if not already present. At the start of the study, a set of C-IODs and 3D-IODs was fabricated for each patient.

All patients wore each IOD-type for 1 year: first the 3D-IOD and the second year a C-IOD, or vice versa. At all three-time points patients general QoL was assessed using the EQ-5D-5L questionnaire as well as the SF-36 from which the SF-6D was obtained, to research the anticipation of no significant difference. To enable cost consequence analysis (CCA), both costs made within healthcare and patient costs were assessed. Subsequently, a budget impact analysis (BIA) was performed to demonstrate the potential savings.

Results: No differences in general GHRQoL were seen between C-IOD (M = 0.840, SD = 0.177) and 3D-IOD (M = 0.837, SD = 0.156) (paired t-test (N = 31): p = 0.880). With respect to the total costs for a complete IOD, however, the digital approach showed a reduction in initial total costs of 14.2% (€4700.33 vs. €4030.61: p < 0,001), in treatment time of 41.1% (309 vs. 182 min: p < 0.001), and in number of treatment sessions of 47.1% (5.68 vs. 3.0: p < 0.001). For repairs for an IOD in both the upper and lower jaw, the C-IOD and 3D-IOD scored similar for treatment time as well as additional costs. Implementing a 3D workflow in the production of IOD's supplies patients with a high-quality 3D-IOD at lower costs.

Reference:

Van de Winkel, T., Delfos, F., van Oirschot, B., Maal, T., Adang, E. and Meijer, G. (2024), Budget Impact Analysis: Digital Workflow Significantly Reduces Costs of Implant Supported Overdentures (IODs). Clin Implant Dent Relat Res. https://doi.org/10.1111/cid.13413

ImplementingDigitalWorkflowfabricationImplantSupportedOverdenturesreducescoststudy
Source : Clinical Implant Dentistry and Related Research
Dr. Shravani Dali
Dr. Shravani Dali

    Dr. Shravani Dali has completed her BDS from Pravara institute of medical sciences, loni. Following which she extensively worked in the healthcare sector for 2+ years. She has been actively involved in writing blogs in field of health and wellness. Currently she is pursuing her Masters of public health-health administration from Tata institute of social sciences. She can be contacted at editorial@medicaldialogues.in.

    Dr. Kamal Kant Kohli
    Dr. Kamal Kant Kohli

    Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751

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