Wiegand, Annette E.

[["dc.bibliographiccitation.firstpage","e375"],["dc.bibliographiccitation.issue","6"],["dc.bibliographiccitation.journal","Dental Materials"],["dc.bibliographiccitation.lastpage","e381"],["dc.bibliographiccitation.volume","37"],["dc.contributor.author","Kanzow, Philipp"],["dc.contributor.author","Krois, Joachim"],["dc.contributor.author","Wiegand, Annette"],["dc.contributor.author","Schwendicke, Falk"],["dc.date.accessioned","2021-06-01T10:49:33Z"],["dc.date.available","2021-06-01T10:49:33Z"],["dc.date.issued","2021-03-02"],["dc.description.abstract","Objectives: When managing partially defective restorations, dentists can choose between repair and replacement. We aimed to assess the long-term treatment costs of repairs and replacements.\r\nMethods: Partially defective anterior and posterior composite restorations in permanent teeth had been repaired or replaced in a German university hospital and were retrospectively followed until censoring or one of the following events: (1) Extraction, (2) Major complications including placement of indirect restorations, endodontic treatments and extractions, or (3) Any complications including major complications and further direct restorations. Costs were estimated from a German mixed public-private-payer perspective. Cost-effectiveness differences were described using median-based incremental-cost-effectiveness ratios (ICERMEDIAN). Statistical analysis was performed using generalized linear mixed modeling (GLM), Chi2-test, and Wilcoxon rank-sum test (p < 0.05).\r\nResults: A total of 616 repairs in 468 patients (follow-up: 4.9 ± 4.1 years) and 264 replacements in 218 patients (follow-up: 4.8 ± 4.3) were included. While replacements were associated with higher initial treatment costs, median annualized treatment costs did not significantly differ between repair (47.58 Euro [IQR: 24.41-107.04]) and replacement (50.64 Euro [IQR: 26.30-118.78]; p > 0.05), but were higher for molars (75.53 Euro [IQR: 24.41-92.18]) than incisors (45.03 Euro [IQR: 28.19-168.50]; p = 0.011). The difference in the % of extractions, major and any complications were minimal between both groups. The mean ICERMEDIAN of replacement vs. repair was -146.8 Euro/% when extractions were considered as outcomes. Regarding major and any complications, mean ICERMEDIAN amounted to 67.6 Euro/% and 23.9 Euro/%, respectively.\r\nSignificance: Repairs and replacements of partially defective restorations showed similar long-term costs and cost-effectiveness."],["dc.identifier.doi","10.1016/j.dental.2021.02.008"],["dc.identifier.pmid","33663883"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/86333"],["dc.language.iso","en"],["dc.notes.intern","DOI-Import GROB-425"],["dc.relation.issn","0109-5641"],["dc.relation.orgunit","Poliklinik für Präventive Zahnmedizin, Parodontologie und Kariologie"],["dc.subject.gro","Composite materials"],["dc.subject.gro","Cost-effectiveness"],["dc.subject.gro","Minimally invasive dentistry"],["dc.subject.gro","Restoration repair"],["dc.subject.gro","Restorative dentistry"],["dc.subject.gro","Treatment costs"],["dc.title","Long-term treatment costs and cost-effectiveness of restoration repair versus replacement"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]