评估印度部分无牙义齿修复的成本效益：卡环固位rpd、热塑性树脂rpd和铸造局部义齿的比较研究

Q1 Medicine

Journal of oral biology and craniofacial research Pub Date : 2025-02-10 DOI:10.1016/j.jobcr.2025.01.014

Subhash V , Aswini Kumar K , Vineetha Karuveettil

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引用次数: 0

摘要

随着预期寿命的延长，局部补牙人数增加，特别是在发展中国家，那里的经济限制、意识有限和牙科护理不足加剧了老龄化人口的负担。牙齿少于20颗的患者通常会经历口腔健康相关生活质量（OHRQoL）的下降，这强调了有效更换牙齿的必要性。可摘局部义齿（rpd）是一种多用途的、经济有效的解决局部牙齿缺失的方法，包括金属卡环保留式局部义齿（mc - rpd）、热塑性树脂义齿（tr - rpd）和铸造局部义齿（CPDs）。方法本研究评估这三种RPD类型的口腔健康相关生活质量、患者满意度和成本效益。对42名参与者进行了横断面研究，分为三组：MC-RPD， TR-RPD和CPD，每组14名患者。口腔健康影响量表（OHIP-14）和满意度问卷（SAT）分别在基线和义齿植入后3个月进行。该研究遵循综合卫生经济评价报告标准。结果两组患者的OHIP评分差异显著，CPD患者的生活质量最高，TR-RPD患者次之，MC-RPD患者次之。治疗后，MC-RPD、TR-RPD和CPD的平均OHIP评分分别为30.57±4.09、20.71±4.03和22.36±2.92，其中CPD改善最大。CPD患者满意度最高，TR-RPD次之，MC-RPD最低。然而，三个月后，两组之间的满意度差异没有统计学意义。结论CPDs在提高OHRQoL和患者满意度方面具有优势，但其较高的成本可能会限制其可及性。这些发现为牙科医生和患者选择最合适和最具成本效益的RPD治疗方案提供了宝贵的见解。

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Evaluating the cost-effectiveness of prosthetic rehabilitation for partially edentulous teeth in India: A comparative study of Clasp-Retained RPDs, Thermoplastic Resin RPDs, and Cast Partial Dentures

Background

With rising life expectancy, partial edentulism has increased, particularly in developing nations where economic constraints, limited awareness, and inadequate dental care exacerbate the burden on aging populations. Patients with fewer than 20 teeth often experience a reduction in Oral Health-Related Quality of Life (OHRQoL), emphasizing the need for effective tooth replacement. Removable partial dentures (RPDs) are versatile, cost-effective solutions for partial tooth loss, including metal clasp-retained RPDs (MC-RPDs), thermoplastic resin RPDs (TR-RPDs), and cast partial dentures (CPDs).

Methods

This study evaluates the oral health-related quality of life, patient satisfaction, and cost-effectiveness of these three RPD types. A cross-sectional study was conducted with 42 participants, divided into three groups: MC-RPD, TR-RPD, and CPD, each with 14 patients. The Oral Health Impact Profile (OHIP-14) and Satisfaction Questionnaire (SAT) were administered at baseline and three months post-denture delivery. The study adhered to Consolidated Health Economic Evaluation Reporting Standards.

Results

Results showed significant differences in OHIP scores between the groups, with CPD offering the highest quality of life, followed by TR-RPD, and MC-RPD. Post-treatment, the mean OHIP scores for MC-RPD, TR-RPD, and CPD were 30.57 ± 4.09, 20.71 ± 4.03, and 22.36 ± 2.92, respectively, with CPD showing the greatest improvement. Patient satisfaction was highest for CPD, followed by TR-RPD, and least for MC-RPD. However, satisfaction differences between the groups were not statistically significant after three months.

Conclusion

This study highlights the superior performance of CPDs in enhancing OHRQoL and patient satisfaction, though their higher cost may limit accessibility. These findings provide valuable insights for dental practitioners and patients in selecting the most suitable and cost-effective RPD treatment options.

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来源期刊

Journal of oral biology and craniofacial research Medicine-Otorhinolaryngology

CiteScore

4.90

自引率

0.00%

发文量

133

审稿时长

167 days

期刊介绍： Journal of Oral Biology and Craniofacial Research (JOBCR)is the official journal of the Craniofacial Research Foundation (CRF). The journal aims to provide a common platform for both clinical and translational research and to promote interdisciplinary sciences in craniofacial region. JOBCR publishes content that includes diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the mouth and jaws and face region; diagnosis and medical management of diseases specific to the orofacial tissues and of oral manifestations of systemic diseases; studies on identifying populations at risk of oral disease or in need of specific care, and comparing regional, environmental, social, and access similarities and differences in dental care between populations; diseases of the mouth and related structures like salivary glands, temporomandibular joints, facial muscles and perioral skin; biomedical engineering, tissue engineering and stem cells. The journal publishes reviews, commentaries, peer-reviewed original research articles, short communication, and case reports.