The cost‐effectiveness of supportive periodontal care for patients with chronic periodontitis
- 26 August 2008
- journal article
- research article
- Published by Wiley in Journal of Clinical Periodontology
- Vol. 35 (s8), 67-82
- https://doi.org/10.1111/j.1600-051x.2008.01261.x
Abstract
Objective: 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. Search Strategy: Electronic database searches of MEDLINE, EMBASE and SCOPUS were performed with hand searching of relevant journals and Workshops of Periodontology. Selection Criteria: SPC for patients with chronic periodontitis, at least 12 months follow‐up and clinical attachment level as a primary outcome. Results: Three articles addressed the question (Nyman et al. 1975, Axelsson & Lindhe 1981, Cortellini et al. 1994): Δs 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 Δs 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 for one tooth year or an extra €1503/1 mm reduction in loss of attachment for SPC delivered in specialist care. Conclusion: SPC delivered in specialist as compared with general practice will result in greater stability of clinical attachment but this will be achieved at relatively greater cost.Keywords
This publication has 67 references indexed in Scilit:
- Long‐term effects of supportive therapy in periodontal patients treated with fibre retention osseous resective surgery. I: recurrence of pockets, bleeding on probing and tooth lossJournal of Clinical Periodontology, 2007
- Long‐Term Tooth Survival Following Regenerative Treatment of Intrabony DefectsThe Journal of Periodontology, 2004
- Longitudinal periodontal tissue alterations during supportive therapyJournal of Clinical Periodontology, 2001
- Clinical indicators of probing attachment loss following initial periodontal treatment in advanced periodontitis patientsJournal of Clinical Periodontology, 1995
- The Use of Sustained Release Delivery of Chlorhexidine for the Maintenance of Periodontal Pockets: 2‐Year Clinical TrialThe Journal of Periodontology, 1991
- Evaluation of Four Modalities of Periodontal TherapyThe Journal of Periodontology, 1988
- A Longitudinal Study Comparing Scaling, Osseous Surgery and Modified Widman ProceduresThe Journal of Periodontology, 1988
- Long‐term maintenance of patients treated for advanced periodontal disease*Journal of Clinical Periodontology, 1984
- Molar and Nonmolar Teeth Compared Over 6½ Years Following Two Methods of Periodontal TherapyThe Journal of Periodontology, 1984
- Results Following Three Modalities of Periodontal TherapyThe Journal of Periodontology, 1975