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A cost analysis of orthodontic space closure and implant treatment in patients missing maxillary lateral incisors with a long-term perspective
Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health.ORCID iD: 0000-0002-9450-2356
Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health.ORCID iD: 0000-0002-3223-0068
Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health.
Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
2023 (English)In: European Journal of Orthodontics, ISSN 0141-5387, E-ISSN 1460-2210, Vol. 45, no 4, p. 468-474Article in journal (Refereed) Published
Abstract [en]

Objective

Few studies within orthodontics present both economic and clinical findings. Missing maxillary lateral incisors is a frequently occurring anomaly. The treatment alternatives most used are orthodontic space closure and prosthetic replacement of the missing tooth. Our aim is to compare the total societal costs of orthodontic space closure (SC) and implant therapy (IT) in patients missing maxillary lateral incisors.

Methods

Records of 32 patients treated with SC (n = 18) or IT (n = 14) due to missing maxillary lateral incisors were retrieved from the archives. Direct costs and indirect costs in the short- and long-term were analysed using a cost analysis with a societal perspective up of to 12 years post-treatment.

Results

Comparing cases treated with SC and IT, the difference in direct short-term costs for treatment is euro735.54, whereas SC is the least costly. There is no difference between SC and IT in short-term parent loss of productivity, long-term loss of productivity, costs for transportation, or direct long-term costs. A difference was found between SC and IT-in favour of SC-when comparing patients' loss of productivity (P = 0.007), short-term societal costs (P < 0.001), long-term societal costs (P = 0.037), and total societal costs (P < 0.001).

Limitations

There is a limited number of patient records. Local factors such as subsidies, urban versus rural areas, taxes, etc. can influence monetary variables, so the transferability to other settings may be limited.

Conclusion

Patients treated with SC have a lower total societal cost compared to patients treated with IT. There was a difference in productivity loss for patients between SC and IT; however, concerning other indirect parameters and direct long-term costs, there was no difference between the two treatments.

Place, publisher, year, edition, pages
Oxford University Press, 2023. Vol. 45, no 4, p. 468-474
National Category
Dentistry
Identifiers
URN: urn:nbn:se:hj:diva-60614DOI: 10.1093/ejo/cjad008ISI: 000982914600001PubMedID: 37071917Scopus ID: 2-s2.0-85168260041Local ID: HOA;;1761675OAI: oai:DiVA.org:hj-60614DiVA, id: diva2:1761675
Funder
Futurum - Academy for Health and Care, Jönköping County Council, SwedenAvailable from: 2023-06-01 Created: 2023-06-01 Last updated: 2023-08-29Bibliographically approved

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Hedmo, CeciliaLindsten, RuneJosefsson, Eva

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