Incorporating Severity and Risk as Factors to the Fardal Cost-Effectiveness Model to Create a Cost-Benefit Model for Periodontal Treatment

John A. Martin*, Oystein Fardal, Roy C. Page, Carl F. Loeb, Elizabeth Krall Kaye, Raul I. Garcia, Gerard J. Linden

*Corresponding author for this work

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background: A previously described economic model was based on average values for patients diagnosed with chronic periodontitis (CP). However, tooth loss varies among treated patients and factors for tooth loss include CP severity and risk. The model was refined to incorporate CP severity and risk to determine the cost of treating a specific level of CP severity and risk that is associated with the benefit of tooth preservation.

Methods: A population that received and another that did not receive periodontal treatment were used to determine treatment costs and tooth loss. The number of teeth preserved was the difference of the number of teeth lost between the two populations. The cost of periodontal treatment was divided by the number of teeth preserved for combinations of CP severity and risk.

Results: The cost of periodontal treatment divided by the number of teeth preserved ranged from (US) $ 1,405 to $ 4,895 for high or moderate risk combined with any severity of CP and was more than $ 8,639 for low risk combined with mild CP. The cost of a three-unit bridge was $ 3,416, and the cost of a single-tooth replacement was $ 4,787.

Conclusion: Periodontal treatment could be justified on the sole basis of tooth preservation when CP risk is moderate or high regardless of disease severity.

Original languageEnglish
Pages (from-to)31-39
Number of pages9
JournalJournal of Periodontology
Volume85
Issue number3
DOIs
Publication statusPublished - Mar 2014

Keywords

  • Chronic periodontitis
  • cost-benefit analysis
  • economics
  • TOOTH LOSS
  • LONG-TERM
  • MAINTENANCE CARE
  • ORAL HEALTH
  • DISEASE
  • CALCULATOR
  • PREVALENCE
  • VALIDATION
  • ADULTS

Cite this

Martin, John A. ; Fardal, Oystein ; Page, Roy C. ; Loeb, Carl F. ; Kaye, Elizabeth Krall ; Garcia, Raul I. ; Linden, Gerard J. / Incorporating Severity and Risk as Factors to the Fardal Cost-Effectiveness Model to Create a Cost-Benefit Model for Periodontal Treatment. In: Journal of Periodontology. 2014 ; Vol. 85, No. 3. pp. 31-39.
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abstract = "Background: A previously described economic model was based on average values for patients diagnosed with chronic periodontitis (CP). However, tooth loss varies among treated patients and factors for tooth loss include CP severity and risk. The model was refined to incorporate CP severity and risk to determine the cost of treating a specific level of CP severity and risk that is associated with the benefit of tooth preservation.Methods: A population that received and another that did not receive periodontal treatment were used to determine treatment costs and tooth loss. The number of teeth preserved was the difference of the number of teeth lost between the two populations. The cost of periodontal treatment was divided by the number of teeth preserved for combinations of CP severity and risk.Results: The cost of periodontal treatment divided by the number of teeth preserved ranged from (US) $ 1,405 to $ 4,895 for high or moderate risk combined with any severity of CP and was more than $ 8,639 for low risk combined with mild CP. The cost of a three-unit bridge was $ 3,416, and the cost of a single-tooth replacement was $ 4,787.Conclusion: Periodontal treatment could be justified on the sole basis of tooth preservation when CP risk is moderate or high regardless of disease severity.",
keywords = "Chronic periodontitis, cost-benefit analysis, economics, TOOTH LOSS, LONG-TERM, MAINTENANCE CARE, ORAL HEALTH, DISEASE, CALCULATOR, PREVALENCE, VALIDATION, ADULTS",
author = "Martin, {John A.} and Oystein Fardal and Page, {Roy C.} and Loeb, {Carl F.} and Kaye, {Elizabeth Krall} and Garcia, {Raul I.} and Linden, {Gerard J.}",
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Incorporating Severity and Risk as Factors to the Fardal Cost-Effectiveness Model to Create a Cost-Benefit Model for Periodontal Treatment. / Martin, John A.; Fardal, Oystein; Page, Roy C.; Loeb, Carl F.; Kaye, Elizabeth Krall; Garcia, Raul I.; Linden, Gerard J.

In: Journal of Periodontology, Vol. 85, No. 3, 03.2014, p. 31-39.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Incorporating Severity and Risk as Factors to the Fardal Cost-Effectiveness Model to Create a Cost-Benefit Model for Periodontal Treatment

AU - Martin, John A.

AU - Fardal, Oystein

AU - Page, Roy C.

AU - Loeb, Carl F.

AU - Kaye, Elizabeth Krall

AU - Garcia, Raul I.

AU - Linden, Gerard J.

PY - 2014/3

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N2 - Background: A previously described economic model was based on average values for patients diagnosed with chronic periodontitis (CP). However, tooth loss varies among treated patients and factors for tooth loss include CP severity and risk. The model was refined to incorporate CP severity and risk to determine the cost of treating a specific level of CP severity and risk that is associated with the benefit of tooth preservation.Methods: A population that received and another that did not receive periodontal treatment were used to determine treatment costs and tooth loss. The number of teeth preserved was the difference of the number of teeth lost between the two populations. The cost of periodontal treatment was divided by the number of teeth preserved for combinations of CP severity and risk.Results: The cost of periodontal treatment divided by the number of teeth preserved ranged from (US) $ 1,405 to $ 4,895 for high or moderate risk combined with any severity of CP and was more than $ 8,639 for low risk combined with mild CP. The cost of a three-unit bridge was $ 3,416, and the cost of a single-tooth replacement was $ 4,787.Conclusion: Periodontal treatment could be justified on the sole basis of tooth preservation when CP risk is moderate or high regardless of disease severity.

AB - Background: A previously described economic model was based on average values for patients diagnosed with chronic periodontitis (CP). However, tooth loss varies among treated patients and factors for tooth loss include CP severity and risk. The model was refined to incorporate CP severity and risk to determine the cost of treating a specific level of CP severity and risk that is associated with the benefit of tooth preservation.Methods: A population that received and another that did not receive periodontal treatment were used to determine treatment costs and tooth loss. The number of teeth preserved was the difference of the number of teeth lost between the two populations. The cost of periodontal treatment was divided by the number of teeth preserved for combinations of CP severity and risk.Results: The cost of periodontal treatment divided by the number of teeth preserved ranged from (US) $ 1,405 to $ 4,895 for high or moderate risk combined with any severity of CP and was more than $ 8,639 for low risk combined with mild CP. The cost of a three-unit bridge was $ 3,416, and the cost of a single-tooth replacement was $ 4,787.Conclusion: Periodontal treatment could be justified on the sole basis of tooth preservation when CP risk is moderate or high regardless of disease severity.

KW - Chronic periodontitis

KW - cost-benefit analysis

KW - economics

KW - TOOTH LOSS

KW - LONG-TERM

KW - MAINTENANCE CARE

KW - ORAL HEALTH

KW - DISEASE

KW - CALCULATOR

KW - PREVALENCE

KW - VALIDATION

KW - ADULTS

U2 - 10.1902/jop.2013.130237

DO - 10.1902/jop.2013.130237

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SP - 31

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JO - Journal of Periodontology

JF - Journal of Periodontology

SN - 0022-3492

IS - 3

ER -