Adding smoking to the Fardal model of cost-effectiveness for the lifetime treatment of periodontal diseases

Journal of Periodontology
Øystein FardalGerard J Linden

Abstract

Little is known about the financial costs that smoking adds to the lifetime treatment of periodontal disease. The total lifetime cost of periodontal treatment was modeled using data from private periodontal practice. The costs of initial and supportive therapy, re-treatment and tooth replacements (with bridgework or implants) were identified using average dental charges from the American Dental Association survey. Smoking costs at $6 and $10 for 20 cigarettes were compared to the costs of lifetime periodontal treatment for stable and unstable compliant patients. Smoking added 8.8% to the financial cost of the lifetime cost of periodontal therapy in stable maintenance patients, 40.1% in patients who needed one extra maintenance visit, and 71.4% in patients who needed two extra maintenance visits per year in addition to added retreatment. The cost of smoking far exceeded the cost of periodontal treatment; For patients who smoked 10 to 40 cigarettes per day at the cost of $6 or $10 a pack, the cost of smoking exceeded the cost of lifetime periodontal treatment by between 2.7 and 17.9 times. Smoking 40 cigarettes at $10 a packet for 3.4 years would pay for the entire lifetime cost of periodontal treatment. Smoking adds considerable...Continue Reading

References

Dec 1, 1991·Journal of Periodontology·A R MendozaK C Nixon
Sep 26, 2002·Journal of Periodontology·Oystein FardalGerard J Linden
May 21, 2003·Periodontology 2000·Francisco Rivera-Hidalgo
Jun 12, 2004·Journal of Clinical Periodontology·Øystein FardalGerard J Linden
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Sep 1, 2005·Journal of Clinical Periodontology·Richard M PalmerDavid A Scott
May 24, 2008·Journal of Clinical Periodontology·Øystein Fardal, Gerard James Linden
Sep 9, 2008·Journal of Clinical Periodontology·Lisa J A Heitz-Mayfield
Feb 25, 2009·Journal of Clinical Periodontology·Chi Pui WanEsmonde F Corbet
Apr 15, 2011·Journal of Clinical Periodontology·Ecinele Francisca RosaCláudio Mendes Pannuti
Dec 21, 2011·Journal of Periodontology·Øystein Fardal, Christopher A McCulloch
Mar 15, 2012·Journal of Periodontology·Øystein FardalGerard J Linden
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Feb 18, 2014·Journal of Clinical Periodontology·Christoph A RamseierGiovanni E Salvi
May 13, 2014·Journal of Clinical Periodontology·Chrysoula DelatolaEffie Ioannidou
Jul 22, 2014·Journal of Clinical Periodontology·Jan Bergstrom
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Aug 6, 2015·Journal of Dental Research·T DietrichH Boeing
Sep 27, 2015·Journal of Clinical Periodontology·Dagmar F BunaesKnut N Leknes

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Citations

Mar 27, 2021·Journal of Clinical Periodontology·John Rong Hao TaySharon Hui Xuan Tan
Dec 29, 2021·Acta Odontologica Scandinavica·Øystein FardalJostein Grytten

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