The cost-effectiveness of supportive periodontal care: a global perspective.

• Published in: Journal of Clinical Periodontology
• Language: English
• Published: Wiley-Blackwell 2011
• Subjects: Medicine; Queensland; Edith; Brisbane; Griffith; Alten; Pennington; Gaunt; Ditte; Turbot
• Online Access: http://hdl.handle.net/2262/60582; https://doi.org/10.1111/j.1600-051X.2011.01722.x

Abstract Aim: To evaluate the cost-effectiveness of supportive periodontal care (SPC) provided in generalist and periodontal specialist practices under publicly subsidised or private dental care. Material and Methods: SPC cost data and the costs of replacing teeth were synthesised with estimates of the effectiveness of SPC in preventing attachment and tooth loss and adjusted for differences in clinician?s time. Incremental Cost-Effectiveness Ratios were calculated for both outcomes assuming a time horizon of 30 years. Results: SPC in specialist periodontal practice provides improved outcomes but at higher costs than SPC provided by publicly subsidised or private systems. SPC in specialist periodontal practice is usually more cost-effective than in private dental practice. For private dental practices in Spain, UK and Australia, specialist SPC is cost-effective at modest values of attachment loss averted. Variation in the threshold arises primarily from clinician?s time. Conclusion: SPC in specialist periodontal practice represents good value for money for patients (publicly subsidised or private) in the UK and Australia and in Spain if they place relatively modest values on avoiding attachment loss. For patients in Ireland, Germany, Japan and the US, a higher valuation on avoiding attachment loss is needed to justify SPC in private or specialist practices. : User ID: 5350587 merged with this user on 18-Jun-2007 by Holm, Ditte (Rajapakse, Sunethra) [e-mail] (Pennington, Mark) [e-mail] (Heasman, Peter Andrew) [e-mail] (Gaunt, Francesca) [e-mail] (Guentsch, Arndt) [e-mail] (Ivanovski, Saso) [e-mail] (Imazato, Satoshi) [e-mail] (Rajapakse, Sunethra) [e-mail] (Allen, Edith) [e-mail] (Flemmig, Thomas) [e-mail] (Sanz, Mariano) [e-mail] (Vernazza, Chris) London School of Hygiene and Tropical Medicine - London - UNITED KINGDOM (Pennington, Mark) School of Dental Sciences, Periodontics - Newcastle upon Tyne - UNITED KINGDOM (Heasman, Peter Andrew) Newcastle University, School of Dental Sciences - Newcastle - UNITED KINGDOM (Gaunt, Francesca) Friedrich-Schiller-University Jena, Department of Conservative Dentistry, Section Periodontology - An der alten Post 4--> - 07743 - Jena - GERMANY (Guentsch, Arndt) Griffith University, School of Dentistry and Oral Health - 16-30 High St--> - Qld - Southport - AUSTRALIA (Ivanovski, Saso) University of Queensland, School of Dentistry - 200 Turbot St--> - 4000 - Brisbane - AUSTRALIA (Ivanovski, Saso) Osaka University, Biomaterials Science - Osaka - JAPAN (Imazato, Satoshi) University of Peradeniya, Faculty of Dental Sciences - University of Peradeniya--> , Peradeniya--> - 28000 - Peradeniya - SRI LANKA (Rajapakse, Sunethra) University of Florida, Periodontology - Gainesville--> - Gainesville - UNITED STATES (Rajapakse, Sunethra) Cork University, Restorative Dentistry - Cork - IRELAND (Allen, Edith) University of Washington, Periodontics - D-570 Health Science Center--> , Box 357444--> - 98195-7444 - Seattle - UNITED STATES (Flemmig, Thomas) Faculty of Odontology, University Complutense of Madrid - Madrid - SPAIN (Sanz, Mariano) Newcastle University, School of Dental Sciences - Framlington Place--> - NE2 4BW - Newcastle upon Tyne - UNITED KINGDOM (Vernazza, Chris) AUSTRALIA GERMANY IRELAND JAPAN SPAIN SRI LANKA UNITED KINGDOM UNITED STATES