Cost‐effectiveness of personalized plaque control for managing the gingival manifestations of oral lichen planus: a randomized controlled study

Abstract

The tailored plaque control programme was more effective than control in treating the gingival manifestations of oral lichen planus. The programme is cost effective for modest values placed on a point on the OHIP scale and patients generally valued the treatment in excess of the cost.

The INCENTIVE study: a mixed-methods evaluation of an innovation in commissioning and delivery of primary dental care compared with traditional dental contracting

“…Although the EQ-5D-3L is the NICE-recommended outcome of choice for economic evaluation, 129 the apparent insensitivity of the EQ-5D-3L in oral health led to the use of the OHIP-14. 127 The EQ-5D-3L has been reported to have adequate construct and convergent validity, but may not be as sensitive as specific measures of OHQoL. [142][143][144] Although we found no statistically significant differences in the OHIP-14 scores between groups, there were statistically significant differences (at the 5% level) in these scores over time in both groups, suggesting an overall improvement in OHQoL for both the incentive and the traditional groups.…”

“…The OHIP-14 measure has been used extensively in cost-effectiveness analyses in oral health (see, for example, Stone and colleagues 127 and Hulme and colleagues 128 ), but is not preference based and therefore cannot be used to produce QALYs. At the present time there is no preference-based measure specific to oral health.…”

“…The OHIP-14 measure has been used extensively in cost-effectiveness analyses in oral health (see, for example, Stone and colleagues 127 and Hulme and colleagues 128 ). However, in the UK the recommended outcome measure in cost-effectiveness analysis is the QALY.…”

“…125,126 However, given the apparent insensitivity of the EQ-5D-3L in oral health, 127 the OHIP-14, an OHQoL measure, was also used. 115,116 The analyses will show the cost per QALY and cost per unit change in the OHIP-14 score of the incentive model compared with that of the traditional care practice.…”

World Workshop on Oral Medicine VI: Patient-reported outcome measures and oral mucosal disease: current status and future direction

“…Some progress has been made in the use of PROMs in oral medicine from early studies reporting on anxiety and depression in population groups 11,12 , to the importance of valid and reliable instruments highlighted by Hegarty et al 13 and the use of PROMs as outcomes in clinical trials 14 . Due to the chronic nature of common oral medicine conditions such as orofacial pain, salivary dysfunction and oral mucosal lesions and an underestimation by clinicians of the impact of these conditions on the lives of patients 15,16 , the use of PROMs in assessing the treatment of patients with chronic oral mucosal diseases is of great importance.…”