TITLE

Long-term cost-effectiveness of single indirect restorations in selected dental practices

AUTHOR(S)
Kelly, P. G.; Smales, R. J.
PUB. DATE
May 2004
SOURCE
British Dental Journal;5/22/2004, Vol. 196 Issue 10, p639
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Objective To determine the relative cost-effectiveness of alternative methods for restoring large tooth substance loss in adults.Methods Long-term survival estimates and discounted costs for 245 large indirect restorations were used to calculate their incremental cost-effectiveness over 15 years when compared with direct placement Class II cusp-overlay amalgams and Class IV multisurface resin composites, placed in 100 patients from three private dental practices.Results The direct placement restorations were more cost-effective than the indirect restorations at all time intervals over the 15-year study period. The full gold crown and the ceramometal crown were the most cost-effective indirect posterior and anterior restorations respectively. The cast gold onlay and the porcelain jacket crown were the least cost-effective indirect posterior and anterior restorations respectively.Conclusions When clinically practicable, large direct placement restorations should be placed initially in preference to indirect restorations.
ACCESSION #
13176527

 

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