Premium
Long‐term treatment costs of chronic periodontitis patients in Germany
Author(s) -
Schwendicke Falk,
Engel Anne Sophie,
Graetz Christian
Publication year - 2018
Publication title -
journal of clinical periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.456
H-Index - 151
eISSN - 1600-051X
pISSN - 0303-6979
DOI - 10.1111/jcpe.12984
Subject(s) - medicine , dentistry , periodontitis , chronic periodontitis , debridement (dental) , tooth loss , tooth mobility , oral health
Abstract Aim We assessed the long‐term costs for treating chronic periodontitis ( CP ) patients. Methods A cohort of compliant CP patients was retrospectively evaluated. Costs for active periodontal therapy ( APT , including scaling and root planning, open flap debridement, root resections) and supportive periodontal therapy ( SPT including periodontal, restorative, endodontic, prosthetic and surgical treatments) were estimated from a mixed payer perspective in Germany. The impact of tooth‐ and patient‐level factors on annual costs was assessed using mixed‐modelling. Results Two hundred and seventy‐three patients (mean ± SD age: 49.6 ± 8.8 years), with 24.3 ± 4.5 teeth, were included. Mean follow‐up was 18.7 ± 5.7 years. Total treatment costs per patient and per tooth were 6,146 ± 2,236 and 222 ± 98 Euro, respectively. Costs were generated mainly by periodontal therapy and during SPT . Annualized patient‐ and tooth‐level costs were 348 ± 159 and 12.4 ± 5.7 Euro, respectively. Annual costs increased significantly in older patients, regular attenders, those with fewer teeth (<24) at baseline and teeth with higher probing pocket depths or mobility 3 at baseline. Conclusions Annual costs for treating CP patients were lower than those found for aggressive periodontitis patients. Regular attendance and having more severe periodontitis came with higher costs per year.