Comparative Analysis of Composite Materials for Hard Dental Tissue Defect Restorations From Budget Financing in Wartime in Ukraine
Author(s)
NAZARII MYKYIEVYCH, MD1, NATALIYA MYKYYEVYCH, PhD2, VIKTOR KUKHTA, PhD2, Bohdan Zaliskyy, PhD3, Olha Zaliska, ScD, PharmD, PhD4.
1PhD student at the department of prosthetic dentistry, Danylo Halytsky Lviv National Medical University, LVIV, Ukraine, 2Department of Prosthetic Dentistry, Danylo Halytsky Lviv National Medical University, LVIV, Ukraine, 3Department of Prosthetic Dentistry, Danylo Halytsky Lviv National Medical University, Lviv, Ukraine, 4Danylo Halytsky Lviv National Medical University, Lviv, Ukraine.
1PhD student at the department of prosthetic dentistry, Danylo Halytsky Lviv National Medical University, LVIV, Ukraine, 2Department of Prosthetic Dentistry, Danylo Halytsky Lviv National Medical University, LVIV, Ukraine, 3Department of Prosthetic Dentistry, Danylo Halytsky Lviv National Medical University, Lviv, Ukraine, 4Danylo Halytsky Lviv National Medical University, Lviv, Ukraine.
OBJECTIVES: During wartime in Ukraine, the need for restoration of hard dental tissue defects has increased, particularly among thousands of soldiers. Light-cured composite materials (LCCM) registered in national market have different physico-mechanical properties and clinical effectiveness. According to Order of the CMU dated 11.02.2025 N156 «About use the budget financing for medical services for certain categories who defends(ed) the indepence, sovereignty and territorial integrity of Ukraine», they have to receive free dental medical services, including LCCM restorations from central and local budgets. The aim was to compare the cost and clinical effectiveness of LCCMs used for the restoration of hard dental tissue defects during wartime in Ukraine.
METHODS: We analyzed the data from two groups: 1. Control group n= 41 treated patients with the domestic LCCM Latelux - 1; 2. Experimental group n= 36 with two registered foreign LCCMs: Charisma Classic - 2 (Germany) and Tetric N-Ceram - 3 (USA). We evaluated water absorption and strength, using the acoustic emission method. Also we compared prices (on May, 30, 2025).
RESULTS: The prices range for LCCM was: 1) 190 - 220 UAH, 2) 635 - 700 UAH, 3) 850 - 930 UAH (1 Euro = 47.4 UAH). The water absorption was: 1) absorbed an average of 2 g water g per 1 gram (g/g), 2) 1.75 g/g, 3) 1.5 g/g. The LCCMs were completely destroyed at wave amplitudes of 1) 60.75±9.24 MPa, 2) 141.19±9.81 MPa, 3) 164.44±20.42 MPa. The difference in rates of water absorption between domestic and foreign LCCM was 14 - 33%; strength - 56 - 63%.
CONCLUSIONS: Cost result showed that the domestic LCCM Latelux is 70-77% cheaper, it is critical under conditions of limited budget financing for soldiers in wartime. However, its other inferior parameters may affect the long-term effectiveness of restorations, so it need next cost-effectiveness analysis.
METHODS: We analyzed the data from two groups: 1. Control group n= 41 treated patients with the domestic LCCM Latelux - 1; 2. Experimental group n= 36 with two registered foreign LCCMs: Charisma Classic - 2 (Germany) and Tetric N-Ceram - 3 (USA). We evaluated water absorption and strength, using the acoustic emission method. Also we compared prices (on May, 30, 2025).
RESULTS: The prices range for LCCM was: 1) 190 - 220 UAH, 2) 635 - 700 UAH, 3) 850 - 930 UAH (1 Euro = 47.4 UAH). The water absorption was: 1) absorbed an average of 2 g water g per 1 gram (g/g), 2) 1.75 g/g, 3) 1.5 g/g. The LCCMs were completely destroyed at wave amplitudes of 1) 60.75±9.24 MPa, 2) 141.19±9.81 MPa, 3) 164.44±20.42 MPa. The difference in rates of water absorption between domestic and foreign LCCM was 14 - 33%; strength - 56 - 63%.
CONCLUSIONS: Cost result showed that the domestic LCCM Latelux is 70-77% cheaper, it is critical under conditions of limited budget financing for soldiers in wartime. However, its other inferior parameters may affect the long-term effectiveness of restorations, so it need next cost-effectiveness analysis.
Conference/Value in Health Info
2025-11, ISPOR Europe 2025, Glasgow, Scotland
Value in Health, Volume 28, Issue S2
Code
EE134
Topic
Economic Evaluation
Disease
Sensory System Disorders (Ear, Eye, Dental, Skin)