The cost-effectiveness of supportive periodontal care for patients with chronic periodontitis

Journal of Clinical Periodontology
Francesca L GauntPeter A Heasman

Abstract

To systematically evaluate the evidence for effectiveness of supportive periodontal care (SPC) provided in specialist care and general practice for patients with chronic periodontitis; to construct a model for the cost effectiveness of SPC. Electronic database searches of MEDLINE, EMBASE and SCOPUS were performed with hand searching of relevant journals and Workshops of Periodontology. SPC for patients with chronic periodontitis, at least 12 months follow-up and clinical attachment level as a primary outcome. Three articles addressed the question (Nyman et al. 1975, Axelsson & Lindhe 1981, Cortellini et al. 1994): Deltas CAL for patients undergoing "specialist" SPC were 0.1 mm (2 years), 0.2 mm (6 years) and -0.01 mm (3 years) respectively. In generalist care the Deltas CAL during SPC were -2.2, -1.8 and -2.8 mm. Differences between specialist and generalist SPC were an extra 20.59 tooth years and 3.95 mm attachment loss for generalist SPC. Incremental cost-effectiveness ratios were an extra 288 euros for one tooth year or an extra 1503 euros/1 mm reduction in loss of attachment for SPC delivered in specialist care. SPC delivered in specialist as compared with general practice will result in greater stability of clinical attach...Continue Reading

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Citations

Mar 15, 2012·Journal of Periodontology·Øystein FardalGerard J Linden
Jun 3, 2014·BMC Oral Health·Tuti Mohd-DomAhmad S Mohd-Asari
May 8, 2009·Journal of Clinical Periodontology·Adrian K JowettPeter G Robinson
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Jul 2, 2009·Journal of Clinical Periodontology·Bernadette PretzlPeter Eickholz
Jul 2, 2009·Journal of Clinical Periodontology·Mark PenningtonPeter Heasman
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Aug 23, 2012·Periodontology 2000·Chris VernazzaMark Pennington
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Mar 26, 2013·Community Dentistry and Oral Epidemiology·Batoul ShariatiMaryam Yazdizadeh
Mar 16, 2013·Journal of Clinical Periodontology·Stefan Listl, Stephen Birch
May 11, 2011·Journal of Clinical Periodontology·Mark PenningtonChris Vernazza
Apr 12, 2013·Periodontology 2000·Thomas F Flemmig, Thomas Beikler
Jun 16, 2010·Journal of Clinical Periodontology·Stefan Listl, Clovis Mariano Faggion
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Jul 12, 2016·Journal of Clinical Periodontology·Falk SchwendickeChristian Graetz
Aug 8, 2015·International Journal of Environmental Research and Public Health·Noriko TakeuchiManabu Morita
Dec 2, 2017·Periodontology 2000·Filippo GrazianiNikolaos Donos
Aug 2, 2017·Periodontology 2000·Giles McCrackenPeter Heasman
Aug 17, 2019·Journal of Clinical Periodontology·Luigi NibaliStefan Gunnar Rüdiger
Aug 28, 2020·Periodontology 2000·Leonardo TrombelliRoberto Farina
Sep 10, 2014·Primary Dental Journal·Alan J Woodman
Mar 27, 2021·Journal of Clinical Periodontology·John Rong Hao TaySharon Hui Xuan Tan

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