A randomized controlled trial on immediate surgery versus root planing in patients with advanced periodontal disease: a cost‐effectiveness analysis

Abstract

Although 700 Euro could be saved on average by performing SRP instead of surgery, the latter significantly reduced the need for supportive care and systemic antibiotics.

A randomized controlled trial comparing surgical and non‐surgical periodontal therapy: a 3‐year clinical and cost‐effectiveness analysis

“…In the current trial surgery took significantly more time than SRP during the active treatment phase, thereby imposing significantly higher costs on the patient. Calculation had already revealed that patients in the surgery group would need to pay on average an extra 746 Euro up to 6 months for delivering 7.6% less residual pockets than SRP (Miremadi et al 2014). However, during the two and a half years thereafter, 69€ of this amount was reduced due to a lower need for re-treatment during supportive care in the surgery group.…”

“…In an earlier study a 1‐year comparison between surgery and SRP was performed particularly focusing on such sites (Miremadi et al. ). The primary objective of this study was to evaluate the 3‐year clinical outcome of both treatment concepts in the same cohorts focusing on residual sites and cost‐effectiveness.…”

“…In this regard, there is some evidence on the promising short‐term effects of azithromycin in treating residual sites following first phase of treatment (Miremadi et al. ). Though, the results on the longer term remain to be investigated.…”

“…This is while assessing the percentage of such residual sites is crucial in determining the stability of treatment results, as they have been shown to be at risk for further clinical attachment loss (Matuliene et al 2008). In an earlier study a 1-year comparison between surgery and SRP was performed particularly focusing on such sites (Miremadi et al 2014). The primary objective of this study was to evaluate the 3-year clinical outcome of both treatment concepts in the same cohorts focusing on residual sites and cost-effectiveness.…”

“…When the expected outcome of periodontal treatment is not attained and residual pockets are observed, the combination of systemic antibiotics and non-surgical therapy could be considered. In this regard, there is some evidence on the promising short-term effects of azithromycin in treating residual sites following first phase of treatment (Miremadi et al 2014). Though, the results on the longer term remain to be investigated.…”