The McGill Consensus Statement on Overdentures Mandibular two‐implant overdentures as first choice standard of care for edentulous patients

Feine, Jocelyne S.; Carlsson, Gunnar; Awad, Manal A.; Chehadé, A; Duncan, Warwick; Gizani, Sotiria; Head, T; Heydecke, Guido; Lund, James P.; MacEntee, Michael I.; Mericske‐Stern, Regina; Mojon, Philippe; Morais, Juliana Aparecida Najarro Dearo de; Naert, Ignace; Payne, Alan G. T.; Penrod, John R.; Stoker, G.T.; Tawse‐Smith, Andrew; Taylor, Thomas D.; Thomason, JM; Thomson, W. Murray; Wismeijer, Daniël

doi:10.1111/j.1741-2358.2002.00003.x

Cited by 397 publications

(58 citation statements)

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“…The intervention of interest was the ISTP prosthetic rehabilitation treatment of mandibular edentulous older adults. This rehabilitation can employ different techniques, but in our model only the mandibular two-implant supported overdenture was considered, since the scientific evidence points to it as the minimum treatment indicated 18 for the rehabilitation of edentulous mandibles.…”

Section: Methodsmentioning

confidence: 99%

Cost-effectiveness of implant-supported dental prosthesis compared to conventional dental prosthesis

et al. 2019

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OBJECTIVE: To conduct a cost-effectiveness analysis of alternatives for rehabilitation treatment of mandibular edentulism in the context of the Brazilian Unified Health System (implantsupported total dental prosthesis versus conventional total dental prosthesis). METHODS: A Markov model was developed to capture long-term clinical and economic outcomes. The model’s population was comprised of a hypothetical cohort of 1,000,000 patients, aged 55 years, with total mandibular edentulism and without medical contraindications for performing surgical procedures. The adopted analysis perspective was that of the Brazilian Unified Health System. Based on the proposed model, we calculated cost – in BRL, and effectiveness – measured by quality-adjusted prosthesis year (QAPY). The time horizon of the analysis was 20 years. RESULTS: Considering a 5% discount in costs and effects, the incremental cost-effectiveness ratio of implant-supported total dental prostheses compared to conventional total dental prosthesis (BRL 464.22/QAPY) was lower than the willingness to pay threshold adopted in the model (BRL 3,050.00/QAPY). CONCLUSIONS: The results of this economic analysis showed that the rehabilitation of mandibular edentulous patients by implant-supported total prosthesis is very cost-effective when compared to conventional complete prosthesis, considering the cost-effectiveness limits employed.

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Section: Methodsmentioning

confidence: 99%

Cost-effectiveness of implant-supported dental prosthesis compared to conventional dental prosthesis

et al. 2019

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“…Mastication parameters were observed to approach the values obtained in normal dentate subjects (Haraldson et al, 1988;Heckmann et al, 2009). This also applies to different type of implantretained overdentures (Tang et al, 1999;Feine et al, 2002;Awad et al, 2003;van der Bilt et al, 2012), including miniimplants (Batisse et al, 2016;Goiato et al, 2018;Yao et al, 2018). The improvement with implant-retained overdentures was delayed for more than 6 months after rehabilitation treatment.…”

Section: Adaptation Of Mastication To Changes In Functional Occlusionmentioning

confidence: 68%

Masticatory Adaptation to Occlusal Changes

et al. 2020

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This review deals with the frequent wide variability of masticatory capacity/incapacity. Neither researchers nor clinicians have taken sufficient account of this variability despite its implications for nutrition. Mastication in normal healthy oral conditions is first described, followed by a short presentation of the mechanisms of masticatory adaptation in the nervous system. Capacity, incapacity, and successful compensatory adaptation of mastication are then defined, along with the different methods used for their evaluation. Examples of adaptation needs are given, such as those concomitant with dental wear or occlusal changes. Finally, given its vital importance for deeply impaired mastication/deglutition function, the impact of masticatory adaptation processes on nutrition is examined.

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“…Relative to the use of the two technologies in SUS, we observed extensive reports in the literature with regard to the difficulty of adaptation to the CCP in the mandible [8][9][10]24]. Nevertheless, no data were found in SUS about the rate of abandonment of these dentures; that is, there are no estimates of how many patients undergo treatment and do not use the denture, which may be considered a waste of resources from the perspective of SUS as the payer, and would be an important datum to be considered in economic analyses.…”

Section: Discussionmentioning

confidence: 99%

“…The CISP on two implants has been pointed out as being the minimum treatment indicated for the rehabilitation of patients with edentulous mandibles [8][9][10]. Nevertheless, the CCP is the treatment most frequently offered as the proposal for rehabilitation in SUS, and continues to be routinely used in dental clinical practice because of its low cost [15].…”

Section: Technologiesmentioning

confidence: 99%

“…In view of the high prevalence of the edentulism in Brazil, in 2004, the Ministry of Health (MH) started financing Conventional Complete Dental Prostheses (CCP), and in 2010 Complete implant-supported prostheses (CISP), for oral rehabilitation of edentulous patients [6,7]. Among these, the CISP is recognized as the type that offers patients a better fit in cases of edentulous mandibles [8][9][10].…”

Section: Introductionmentioning

confidence: 99%

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Oral rehabilitation with complete implant-supported dental prosthesis: a budget impact analysis from the unified health system perspective

Probst

Cavalcante

Vanni

et al. 2020

Preprint

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Background Tooth loss is an important measure of a population's health condition and has a significant impact on people's quality of life. Oral rehabilitation is an important means for functional and social recovery of edentulous patThe aim of the study was to estimate the budget impact of complete implant-supported dental prostheses in the rehabilitation of mandibular edentulism in patients within the context of the Unified Health System (Sistema Único de Saúde – SUS).Methods Treatment with complete implant-supported dentures was compared with the technology most frequently used - Conventional Complete Dental Prosthesis. For analysis we adopted the Methodology proposed by the Methodological Guidelines for Budget Impact Analysis of the Brazilian Network for Health Technology Assessment (REBRATS). Sensitivity analysis was performed per scenarios and a temporal horizon of 5 years was used.Results Implementation of treatment by complete implant-supported dental prostheses would demand an amount of US$ 970,253,019.00 in 5 years in the reference scenario, US$ 545,767,323.40 in the most optimistic scenario, and US$ 1,516,020,342.40 in the worst scenario.Conclusions These results could support the Brazilian managers in planning the Federal budget destined to Medium to High Complexity (treatments), making it possible to disseminate rehabilitative treatment performed with complete implant-supported dentures in SUS, and serve as reference for health systems in other countries.

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The McGill Consensus Statement on Overdentures Mandibular two‐implant overdentures as first choice standard of care for edentulous patients

Cited by 397 publications

References 0 publications

Cost-effectiveness of implant-supported dental prosthesis compared to conventional dental prosthesis

Cost-effectiveness of implant-supported dental prosthesis compared to conventional dental prosthesis

Masticatory Adaptation to Occlusal Changes

Oral rehabilitation with complete implant-supported dental prosthesis: a budget impact analysis from the unified health system perspective

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