Journal Article

DZNE-2022-01109

http://join2-wiki.gsi.de/foswiki/pub/Main/Artwork/join2_logo100x88.png Tooth loss in periodontally treated patients- a registry- and observation-based analysis.

Kocher, T. ; Holtfreter, B. ; Priess, H.-W. ; Graetz, C. ; Jablonowski, L. ; Grabe, H. J.DZNE* ; Völzke, H. ; Raedel, M. ; Walter, M. H.

2022
Wiley-Blackwell Oxford [u.a.]

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Please use a persistent id in citations: doi:10.1111/jcpe.13668

Abstract: 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; subsample 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 estimates, incidence rates were evaluated.For moderately to severely affected groups, yearly tooth loss and incidence rates were higher in BARMER-MV patients (0.35 and 0.18, respectively) compared to untreated SHIP-TREND controls (0.19 and 0.08, respectively). In line, treated SHIP-TREND participants exhibited higher yearly tooth loss rates than untreated SHIP-TREND controls (0.26 versus 0.19). For severely affected groups, results with respect to tooth loss were inconclusive regarding beneficial effects of periodontal treatment either conducted 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, 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. This article is protected by copyright. All rights reserved.

Keyword(s): Cohort Studies (MeSH) ; Dental Care: adverse effects (MeSH) ; Humans (MeSH) ; Registries (MeSH) ; Retrospective Studies (MeSH) ; Tooth Loss: epidemiology (MeSH) ; Tooth Loss: etiology (MeSH) ; Periodontal diseases ; Periodontal treatment ; registry-based analysis ; tooth loss

Note: CC BY-NC-ND

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Contributing Institute(s):

1. Biomarkers of Dementia in the General Population (AG Grabe)
2. Translational Health Care Research (AG Hoffmann)

Research Program(s):

1. 353 - Clinical and Health Care Research (POF4-353) (POF4-353)

Appears in the scientific report 2022

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Database coverage:
; ; ; Clarivate Analytics Master Journal List ; Current Contents - Clinical Medicine ; Current Contents - Life Sciences ; DEAL Wiley ; Ebsco Academic Search ; Essential Science Indicators ; IF >= 5 ; JCR ; Nationallizenz ; SCOPUS ; Science Citation Index Expanded ; Web of Science Core Collection

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