Cost and lack of insurance coverage are prohibitive to having dental implants after resections for benign mandibular neoplasms

Publication date: Available online 30 December 2016
Source:Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Author(s): Zachary S. Peacock, Yisi D. Ji
ObjectivesTo assess how often patients receive dental implants after mandibular resections for benign neoplasms and determine barriers to completing functional reconstruction.Study DesignA retrospective cohort study of patients who underwent resection for benign mandibular neoplasms between 2005 and 2014. Demographic variables included age, gender, and race. Outcome variables include rates of implant placement, implant restoration, and reasons for not having implants. Fisher's exact test and odds ratios were calculated.Results52 subjects (47.1±19.2 years) were included. Twenty (38.6%) received dental implants. Race was associated with the likelihood of receiving implants(p=0.0302). Blacks/African Americans (1/10, 10%) compared to all other racial groups were least likely to have implants (OR=0.1158, p=0.035, 95% CI (0.013, 0.989). Caucasians (17/35, 48.6%) were 4.41 times more likely to receive implants compared to all other races (OR=4.41, 95% CI [1.073, 18.093] p=0.038). Of the 20 subjects who received implants, 10 went on to have dental prostheses. The most common reason for not having implants was cost (37.5% overall) cited by 50% of Black/African American and 16.7% of Caucasian subjects.ConclusionSubjects do not typically go on to dental reconstruction after mandibular resections with cost as a major barrier. African-Americans were least likely to complete full reconstruction.



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