Evaluating the cost-effectiveness of prosthetic rehabilitation for partially edentulous teeth in India: A comparative study of Clasp-Retained RPDs, Thermoplastic Resin RPDs, and Cast Partial Dentures
Background: With rising life expectancy, partial edentulism has increased, particularly in developing nations where economic constraints, limited awareness, and inadequate dental care exacerbate the burden on aging populations. Patients with fewer than 20 teeth often experience a reduction in Oral H...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-03-01
|
| Series: | Journal of Oral Biology and Craniofacial Research |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212426825000168 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1823859435277123584 |
|---|---|
| author | Subhash V Aswini Kumar K Vineetha Karuveettil |
| author_facet | Subhash V Aswini Kumar K Vineetha Karuveettil |
| author_sort | Subhash V |
| collection | DOAJ |
| description | Background: With rising life expectancy, partial edentulism has increased, particularly in developing nations where economic constraints, limited awareness, and inadequate dental care exacerbate the burden on aging populations. Patients with fewer than 20 teeth often experience a reduction in Oral Health-Related Quality of Life (OHRQoL), emphasizing the need for effective tooth replacement. Removable partial dentures (RPDs) are versatile, cost-effective solutions for partial tooth loss, including metal clasp-retained RPDs (MC-RPDs), thermoplastic resin RPDs (TR-RPDs), and cast partial dentures (CPDs). Methods: This study evaluates the oral health-related quality of life, patient satisfaction, and cost-effectiveness of these three RPD types. A cross-sectional study was conducted with 42 participants, divided into three groups: MC-RPD, TR-RPD, and CPD, each with 14 patients. The Oral Health Impact Profile (OHIP-14) and Satisfaction Questionnaire (SAT) were administered at baseline and three months post-denture delivery. The study adhered to Consolidated Health Economic Evaluation Reporting Standards. Results: Results showed significant differences in OHIP scores between the groups, with CPD offering the highest quality of life, followed by TR-RPD, and MC-RPD. Post-treatment, the mean OHIP scores for MC-RPD, TR-RPD, and CPD were 30.57 ± 4.09, 20.71 ± 4.03, and 22.36 ± 2.92, respectively, with CPD showing the greatest improvement. Patient satisfaction was highest for CPD, followed by TR-RPD, and least for MC-RPD. However, satisfaction differences between the groups were not statistically significant after three months. Conclusion: This study highlights the superior performance of CPDs in enhancing OHRQoL and patient satisfaction, though their higher cost may limit accessibility. These findings provide valuable insights for dental practitioners and patients in selecting the most suitable and cost-effective RPD treatment options. |
| format | Article |
| id | doaj-art-e89bbac02b634c4886fd1b5a58e1b8e1 |
| institution | Kabale University |
| issn | 2212-4268 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Oral Biology and Craniofacial Research |
| spelling | doaj-art-e89bbac02b634c4886fd1b5a58e1b8e12025-02-11T04:34:50ZengElsevierJournal of Oral Biology and Craniofacial Research2212-42682025-03-01152240245Evaluating the cost-effectiveness of prosthetic rehabilitation for partially edentulous teeth in India: A comparative study of Clasp-Retained RPDs, Thermoplastic Resin RPDs, and Cast Partial DenturesSubhash V0Aswini Kumar K1Vineetha Karuveettil2Department of Prosthodontics, Amrita School of Dentistry, Amrita Vishwa Vidyapeetham, Kochi, IndiaDepartment of Prosthodontics, Amrita School of Dentistry, Amrita Vishwa Vidyapeetham, Kochi, India; Corresponding author. Department of Prosthodontics Amrita School of Dentistry Kochi, Kerala, India.Department of Public Health Dentistry, Amrita School of Dentistry, Amrita Vishwa Vidyapeetham, Kochi, IndiaBackground: With rising life expectancy, partial edentulism has increased, particularly in developing nations where economic constraints, limited awareness, and inadequate dental care exacerbate the burden on aging populations. Patients with fewer than 20 teeth often experience a reduction in Oral Health-Related Quality of Life (OHRQoL), emphasizing the need for effective tooth replacement. Removable partial dentures (RPDs) are versatile, cost-effective solutions for partial tooth loss, including metal clasp-retained RPDs (MC-RPDs), thermoplastic resin RPDs (TR-RPDs), and cast partial dentures (CPDs). Methods: This study evaluates the oral health-related quality of life, patient satisfaction, and cost-effectiveness of these three RPD types. A cross-sectional study was conducted with 42 participants, divided into three groups: MC-RPD, TR-RPD, and CPD, each with 14 patients. The Oral Health Impact Profile (OHIP-14) and Satisfaction Questionnaire (SAT) were administered at baseline and three months post-denture delivery. The study adhered to Consolidated Health Economic Evaluation Reporting Standards. Results: Results showed significant differences in OHIP scores between the groups, with CPD offering the highest quality of life, followed by TR-RPD, and MC-RPD. Post-treatment, the mean OHIP scores for MC-RPD, TR-RPD, and CPD were 30.57 ± 4.09, 20.71 ± 4.03, and 22.36 ± 2.92, respectively, with CPD showing the greatest improvement. Patient satisfaction was highest for CPD, followed by TR-RPD, and least for MC-RPD. However, satisfaction differences between the groups were not statistically significant after three months. Conclusion: This study highlights the superior performance of CPDs in enhancing OHRQoL and patient satisfaction, though their higher cost may limit accessibility. These findings provide valuable insights for dental practitioners and patients in selecting the most suitable and cost-effective RPD treatment options.http://www.sciencedirect.com/science/article/pii/S2212426825000168Cost effectivenessRemovable partial denturesOral health related quality of lifeProsthetic rehabilitationCase partial dentures |
| spellingShingle | Subhash V Aswini Kumar K Vineetha Karuveettil Evaluating the cost-effectiveness of prosthetic rehabilitation for partially edentulous teeth in India: A comparative study of Clasp-Retained RPDs, Thermoplastic Resin RPDs, and Cast Partial Dentures Journal of Oral Biology and Craniofacial Research Cost effectiveness Removable partial dentures Oral health related quality of life Prosthetic rehabilitation Case partial dentures |
| title | Evaluating the cost-effectiveness of prosthetic rehabilitation for partially edentulous teeth in India: A comparative study of Clasp-Retained RPDs, Thermoplastic Resin RPDs, and Cast Partial Dentures |
| title_full | Evaluating the cost-effectiveness of prosthetic rehabilitation for partially edentulous teeth in India: A comparative study of Clasp-Retained RPDs, Thermoplastic Resin RPDs, and Cast Partial Dentures |
| title_fullStr | Evaluating the cost-effectiveness of prosthetic rehabilitation for partially edentulous teeth in India: A comparative study of Clasp-Retained RPDs, Thermoplastic Resin RPDs, and Cast Partial Dentures |
| title_full_unstemmed | Evaluating the cost-effectiveness of prosthetic rehabilitation for partially edentulous teeth in India: A comparative study of Clasp-Retained RPDs, Thermoplastic Resin RPDs, and Cast Partial Dentures |
| title_short | Evaluating the cost-effectiveness of prosthetic rehabilitation for partially edentulous teeth in India: A comparative study of Clasp-Retained RPDs, Thermoplastic Resin RPDs, and Cast Partial Dentures |
| title_sort | evaluating the cost effectiveness of prosthetic rehabilitation for partially edentulous teeth in india a comparative study of clasp retained rpds thermoplastic resin rpds and cast partial dentures |
| topic | Cost effectiveness Removable partial dentures Oral health related quality of life Prosthetic rehabilitation Case partial dentures |
| url | http://www.sciencedirect.com/science/article/pii/S2212426825000168 |
| work_keys_str_mv | AT subhashv evaluatingthecosteffectivenessofprostheticrehabilitationforpartiallyedentulousteethinindiaacomparativestudyofclaspretainedrpdsthermoplasticresinrpdsandcastpartialdentures AT aswinikumark evaluatingthecosteffectivenessofprostheticrehabilitationforpartiallyedentulousteethinindiaacomparativestudyofclaspretainedrpdsthermoplasticresinrpdsandcastpartialdentures AT vineethakaruveettil evaluatingthecosteffectivenessofprostheticrehabilitationforpartiallyedentulousteethinindiaacomparativestudyofclaspretainedrpdsthermoplasticresinrpdsandcastpartialdentures |