Impact of smoking on cost-effectiveness of 10-48 years of periodontal care.

IF 17.5 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Periodontology 2000 Pub Date : 2024-07-25 DOI:10.1111/prd.12585
Andrea Ravidà, Muhammad H A Saleh, Iya H Ghassib, Musa Qazi, Purnima S Kumar, Hom-Lay Wang, Paul I Eke, Wenche S Borgnakke
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Abstract

The study aims were (1) to explore whether "periodontal treatment" consisting of surgical therapy (flap, resective, or regenerative) or scaling and root planing treatment with long-term periodontal maintenance treatment, is cost-effective in terms of preventing periodontitis-attributable tooth extraction and replacement by implant-supported crowns ("extraction/replacement"); (2) to assess the effect of cigarette smoking on this cost-effectiveness. Data for this observational retrospective study were collected from dental charts of patients who had received periodontal therapy and at least annual follow-up visits for >10 years were analyzed by linear regression generalized estimating equations and generalized linear models. Among 399 adults (199 males, 200 females), those with the least mean annual treatment cost experienced the greatest mean annual costs for extraction/replacement, indicating general cost-effectiveness. Cigarette smoking adversely impacted this cost-effectiveness, with current heavy smokers experiencing no cost-effectiveness. Former smokers with Grade C periodontitis benefitted most, whereas smoking did not influence cost-effectiveness for Grade B periodontitis. Assessed by mean annual costs of "extraction/replacement," periodontal treatment was cost-effective, which decreased in a dose-response manner by former and current smoking intensity. Cigarette smoking should be factored into treatment planning and cost-effective analyses of periodontal treatment. Smoking cessation should be encouraged.

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吸烟对 10-48 年牙周护理成本效益的影响。
研究目的是:(1) 探讨由手术治疗(翻瓣、切除或再生)或洗牙和根面平整治疗以及长期牙周维护治疗组成的 "牙周治疗 "在预防牙周炎引起的拔牙和种植牙冠替代("拔牙/替代")方面是否具有成本效益;(2) 评估吸烟对成本效益的影响。这项观察性回顾研究的数据来自接受过牙周治疗的患者的牙科病历,至少每年随访一次,随访时间超过 10 年,研究采用线性回归广义估计方程和广义线性模型进行分析。在 399 名成人(199 名男性,200 名女性)中,年平均治疗费用最低的患者的拔牙/换牙年平均费用最高,这表明成本效益普遍较高。吸烟会对成本效益产生不利影响,目前大量吸烟的人没有成本效益。患有 C 级牙周炎的前吸烟者受益最大,而吸烟对 B 级牙周炎的成本效益没有影响。根据 "拔牙/换牙 "的年平均成本进行评估,牙周治疗的成本效益较高,但成本效益会随着曾经吸烟和目前吸烟程度的不同而呈剂量反应型下降。在制定治疗计划和分析牙周治疗的成本效益时,应将吸烟因素考虑在内。应鼓励戒烟。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Periodontology 2000
Periodontology 2000 医学-牙科与口腔外科
CiteScore
34.10
自引率
2.20%
发文量
62
审稿时长
>12 weeks
期刊介绍: Periodontology 2000 is a series of monographs designed for periodontists and general practitioners interested in periodontics. The editorial board selects significant topics and distinguished scientists and clinicians for each monograph. Serving as a valuable supplement to existing periodontal journals, three monographs are published annually, contributing specialized insights to the field.
期刊最新文献
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