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Nonsurgical periodontal treatment in type II diabetics in a middle-income country: a cost-effectiveness analysis

Published online by Cambridge University Press:  28 September 2022

Ana M. Rojas-Gómez Open the ORCID record for Ana M. Rojas-Gómez [Opens in a new window] ,
Juan J. Serrano  and
Diego Rosselli Open the ORCID record for Diego Rosselli [Opens in a new window]
Ana M. Rojas-Gómez*
Affiliation:
Epistemonikos Foundation, Santiago, Chile Preventive and Social Stomatology Research Unit, School of Dentistry, Universidad del Magdalena, Santa Marta, Colombia
Juan J. Serrano
Affiliation:
Department of Periodontal System, School of Dentistry, Pontificia Universidad Javeriana, Bogotá, Colombia
Diego Rosselli
Affiliation:
Clinical Epidemiology and Biostatistics Department, School of Medicine, Pontificia Universidad Javeriana, Bogotá, Colombia
*
*Author for correspondence: Ana M. Rojas-Gómez, E-mail: anrojget@gmail.com
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Abstract

Objectives

To evaluate the cost-effectiveness of the nonsurgical periodontal treatment (NSPT) compared with supragingival therapy in type II diabetics with periodontitis.

Methods

A decision tree analysis was used to estimate the costs and health outcomes of two periodontal therapies in a hypothetical cohort of type II diabetics with periodontitis. The analysis was developed from the perspective of a third-party payer at 1 year and 5 years. Probabilities were derived from two systematic reviews. The costs and resource use were validated by a Delphi expert panel. All costs were expressed in USD, using the 25 May 2021 Colombian pesos market exchange rate (USD 1 = COP 3,350).

Results

NSPT was a dominant alternative compared with subsidized supragingival therapy in type II diabetics with periodontitis, generating savings of USD 87 and 400, during the first year or up to 5 years, respectively, and improving dental survival from 32 to 69 percent.

Conclusions

NSPT can generate savings by reducing the complications derived from uncontrolled periodontitis and tooth loss.

Keywords

cost-effectiveness analysisperiodontitisdiabetesperiodontal therapynon-surgical periodontal treatment
Type
Assessment
Information
International Journal of Technology Assessment in Health Care , Volume 38 , Issue 1 , 2022 , e73
Copyright
© The Author(s), 2022. Published by Cambridge University Press

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