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): 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. 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.
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): 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. 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.
Authors: Noriko Takeuchi; Daisuke Ekuni; Takaaki Tomofuji; Manabu Morita Journal: Int J Environ Res Public Health Date: 2015-08-05 Impact factor: 3.390
Authors: Jan E Clarkson; Craig R Ramsay; Paul Averley; Debbie Bonetti; Dwayne Boyers; Louise Campbell; Graham R Chadwick; Anne Duncan; Andrew Elders; Jill Gouick; Andrew F Hall; Lynne Heasman; Peter A Heasman; Penny J Hodge; Clare Jones; Marilyn Laird; Thomas J Lamont; Laura A Lovelock; Isobel Madden; Wendy McCombes; Giles I McCracken; Alison M McDonald; Gladys McPherson; Lorna E Macpherson; Fiona E Mitchell; John Dt Norrie; Nigel B Pitts; Marjon van der Pol; David Nj Ricketts; Margaret K Ross; James G Steele; Moira Swan; Martin Tickle; Pauline D Watt; Helen V Worthington; Linda Young Journal: BMC Oral Health Date: 2013-10-26 Impact factor: 2.757
Authors: Tuti Mohd-Dom; Rasidah Ayob; Amrizal Mohd-Nur; Mohd R Abdul-Manaf; Noorlin Ishak; Khairiyah Abdul-Muttalib; Syed M Aljunid; Yuhaniz Ahmad-Yaziz; Hanizah Abdul-Aziz; Noordin Kasan; Ahmad S Mohd-Asari Journal: BMC Oral Health Date: 2014-05-20 Impact factor: 2.757