Tooth loss in periodontally treated patients: A registry- and observation-based analysis.
periodontal diseases
periodontal treatment
registry-based analysis
tooth loss
Journal
Journal of clinical periodontology
ISSN: 1600-051X
Titre abrégé: J Clin Periodontol
Pays: United States
ID NLM: 0425123
Informations de publication
Date de publication:
08 2022
08 2022
Historique:
revised:
03
05
2022
received:
02
11
2021
accepted:
18
05
2022
pubmed:
1
6
2022
medline:
26
7
2022
entrez:
31
5
2022
Statut:
ppublish
Résumé
According to retrospective clinical studies, periodontal treatment retains teeth. However, evidence on the effectivity of periodontal treatment stemming from the general population is lacking. We analysed data of periodontally treated patients from routine data of a major German national health insurance (BARMER-MV; sub-sample of the Federal State of Mecklenburg-Vorpommern) and from a clinical cohort (Greifswald Approach to Individualized Medicine, GANI_MED), as well as periodontally untreated and treated participants of the Study of Health in Pomerania (SHIP-TREND) with either ≥2 or ≥4 teeth with pocket depths ≥4 mm. Yearly tooth loss (YTL) estimates and incidence rates were evaluated. For moderately to severely affected groups, YTL and incidence rates were higher in BARMER-MV patients (0.35 and 0.18, respectively) than in untreated SHIP-TREND controls (0.19 and 0.08, respectively). In line, treated SHIP-TREND participants exhibited higher YTL rates than untreated SHIP-TREND controls (0.26 vs. 0.19). For severely affected groups, results with respect to tooth loss were inconclusive regarding the beneficial effects of periodontal treatment conducted either in the university (GANI_MED data) or in the general practice. Until 2021, periodontal treatment performed in German general dental practices within the national health insurance system was probably not efficient in retaining more teeth in the short- to mid-term. Since reimbursement schemes were changed in 2021 and now cover periodontal treatment to a much larger extent, the future will show whether these new reimbursement codes will improve the quality of periodontal treatment and whether they will lead to more long-term tooth retainment.
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
749-757Subventions
Organisme : BARMER
Organisme : German Federal Ministry of Education and Research
ID : (grant03IS2061A)
Organisme : Ministry for Education, Research and Cultural Affairs
Organisme : Ministry for Social Affairs of the Federal State of Mecklenburg-West Pomerania
Informations de copyright
© 2022 The Authors. Journal of Clinical Periodontology published by John Wiley & Sons Ltd.
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