Evidence map›Paper›PMID 39538985›Full record

Trial reportClinical implant dentistry and related research2025

Budget Impact Analysis: Digital Workflow Significantly Reduces Costs of Implant Supported Overdentures (IODs).

Thomas Van de Winkel, Frans Delfos, Bart van Oirschot, Thomas Maal, Eddy Adang, Gert Meijer

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical implant dentistry and related research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Thomas Van de WinkelDepartment of Oral Maxillofacial Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID 0009-0009-5998-938X
Frans DelfosDental Laboratory of the Department of Dentistry, Radboud University Medical Center, Nijmegen, The Netherlands.
Bart van OirschotDepartment of Dentistry-Regenerative Biomaterials, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID 0000-0002-3213-5060
Thomas MaalDepartment of Oral Maxillofacial Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID 0000-0002-1702-4733
Eddy AdangDepartment of Health Evidence, Health Evidence Member-Associate Professor Health Economics, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID 0000-0002-4773-6176
Gert MeijerDepartment of Oral Maxillofacial Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID 0000-0002-5408-2094

Funding

ZonMw
6 · The paper itself

Abstract

backgroundFor edentulism, an implant supported removable complete overdenture (IOD) is an attractive solution to restore patients' chewing capacity, aesthetics, and self‐esteem, however, treatment is expensive and time consuming. PURPOSE/

aimTo estimate the decline in costs for digitally designed and CAD/CAM fabricated IODs (3D‐IODs) compared to conventionally fabricated IODs (C‐IODs) at comparable general health related quality of life (GHRQoL). MATERIALS AND

methodA randomized crossover study enrolled 36 fully edentulous patients, in whom six maxillary implants were placed together with two mandibular implants, if not already present. At the start of the study, a set of C‐IODs and 3D‐IODs was fabricated for each patient. All patients wore each IOD‐type for 1 year: first the 3D‐IOD and the second year a C‐IOD, or vice versa. At all three‐time points patients general QoL was assessed using the EQ‐5D‐5L questionnaire as well as the SF‐36 from which the SF‐6D was obtained, to research the anticipation of no significant difference. To enable cost consequence analysis (CCA), both costs made within healthcare and patient costs were assessed. Subsequently, a budget impact analysis (BIA) was performed to demonstrate the potential savings.

resultsNo differences in general GHRQoL were seen between C‐IOD (M = 0.840, SD = 0.177) and 3D‐IOD (M = 0.837, SD = 0.156) (paired t‐test (N = 31): p = 0.880). With respect to the total costs for a complete IOD, however, the digital approach showed a reduction in initial total costs of 14.2% (€4700.33 vs. €4030.61: p < 0,001), in treatment time of 41.1% (309 vs. 182 min: p < 0.001), and in number of treatment sessions of 47.1% (5.68 vs. 3.0: p < 0.001). For repairs for an IOD in both the upper and lower jaw, the C‐IOD and 3D‐IOD scored similar for treatment time as well as additional costs.

conclusionImplementing a 3D workflow in the production of IOD's supplies patients with a high‐quality 3D‐IOD at lower costs.

trial registrationNL‐OMON44248 https://onderzoekmetmensen.nl/en/trial/44248.

Indexed as

BudgetsComputer-Aided DesignDental Prosthesis, Implant-SupportedDenture, OverlayWorkflowAgedCross-Over StudiesFemaleHumansMaleMiddle AgedQuality of Lifebudget impact analysis (BIA)CAD/CAMcost consequence analysis (CCA)digital workflowedentulousimplantsoverdenture

Identifiers

PMID39538985
PMCPMC11798910

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.