Digital vs. conventional implant prosthetic workflows: a cost/time analysis.

Joda, Tim; Brägger, Urs (2015). Digital vs. conventional implant prosthetic workflows: a cost/time analysis. Clinical oral implants research, 26(12), pp. 1430-1435. Wiley-Blackwell 10.1111/clr.12476

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OBJECTIVES

The aim of this prospective cohort trial was to perform a cost/time analysis for implant-supported single-unit reconstructions in the digital workflow compared to the conventional pathway.

MATERIALS AND METHODS

A total of 20 patients were included for rehabilitation with 2 × 20 implant crowns in a crossover study design and treated consecutively each with customized titanium abutments plus CAD/CAM-zirconia-suprastructures (test: digital) and with standardized titanium abutments plus PFM-crowns (control conventional). Starting with prosthetic treatment, analysis was estimated for clinical and laboratory work steps including measure of costs in Swiss Francs (CHF), productivity rates and cost minimization for first-line therapy. Statistical calculations were performed with Wilcoxon signed-rank test.

RESULTS

Both protocols worked successfully for all test and control reconstructions. Direct treatment costs were significantly lower for the digital workflow 1815.35 CHF compared to the conventional pathway 2119.65 CHF [P = 0.0004]. For subprocess evaluation, total laboratory costs were calculated as 941.95 CHF for the test group and 1245.65 CHF for the control group, respectively [P = 0.003]. The clinical dental productivity rate amounted to 29.64 CHF/min (digital) and 24.37 CHF/min (conventional) [P = 0.002]. Overall, cost minimization analysis exhibited an 18% cost reduction within the digital process.

CONCLUSION

The digital workflow was more efficient than the established conventional pathway for implant-supported crowns in this investigation.

Item Type:

Journal Article (Original Article)

UniBE Contributor:

Joda, Tim, Brägger, Urs

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0905-7161

Publisher:

Wiley-Blackwell

Language:

English

Submitter:

Eveline Carmen Schuler

Date Deposited:

07 Apr 2016 09:32

Last Modified:

05 Dec 2022 14:52

Publisher DOI:

10.1111/clr.12476

PubMed ID:

25179680

Uncontrolled Keywords:

conventional, cost minimization analysis (CMA), costs, dental crown, dental implant, digital, economics, productivity rate, workflow

BORIS DOI:

10.7892/boris.77416

URI:

https://boris.unibe.ch/id/eprint/77416

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