Periodontal treatment associated with decreased diabetes mellitus–related treatment costs

Thakkar‐Samtani, Madhuli; Heaton, Lisa J.; Kelly, Abigail L; Taylor, Shelly Dionne; Vidone, Linda; Tranby, Eric

doi:10.1016/j.adaj.2022.12.011

Cited by 6 publications

(5 citation statements)

References 33 publications

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“…Interestingly, Mosen et al also found that dental treatment was associated with lower rates of all-cause hospitalizations in T2D patients, but not with change in HbA1c [ 40 ]. Thakkar-Samtani et al found that periodontal treatment was associated with reduced overall and outpatient health care costs in T2D patients utilizing Medicaid and commercial insurance claims data [ 41 ].…”

Section: Discussion/conclusionmentioning

confidence: 99%

Periodontal treatment and subsequent clinical outcomes and medical care costs: A retrospective cohort study

Michalowicz,

Anderson,

Kottke

et al. 2023

PLoS ONE

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Introduction Periodontitis is a common oral disease associated with coronary artery disease (CAD), cerebrovascular disease (CBVD) and type 2 diabetes (T2D). We studied if periodontitis treatment improves clinical outcomes and reduces medical care costs in patients with CAD, CBVD or T2D. Methods We used clinic records and claims data from a health care system to identify patients with periodontitis and CAD, CBVD or T2D, and to assess periodontal treatments, hospitalizations, medical costs (total, inpatient, outpatient, pharmacy), glycated hemoglobin, cardiovascular events, and death following concurrent disease diagnoses. We compared clinical outcomes according to receipt of periodontal treatment and/or maintenance care in the follow-up period, and care costs according to treatment status within one year following concurrent disease diagnoses, while adjusting for covariates. The data were analyzed in 2019–21. Results We identified 9,503 individuals, 4,057 of whom were in the CAD cohort; 3,247 in the CBVD cohort; and 4,879 in the T2D cohort. Patients who were selected and elected to receive treatment and maintenance care were less likely to be hospitalized than untreated individuals (CAD: OR = 0.71 (95% CI: 0.55, 0.92); CBVD: OR = 0.73 (0.56, 0.94); T2D: OR = 0.80 (0.64, 0.99)). Selection to treatment and/or maintenance care was not significantly associated with cardiovascular events, mortality, or glycated hemoglobin change. Total care costs did not differ significantly between treated and untreated groups over 4 years. Treated patients experienced lower inpatient costs but higher pharmacy costs. Conclusions Patients with periodontitis and CAD, CBVD or T2D who were selected and elected to undergo periodontal treatment or maintenance care had lower rates of hospitalizations, but did not differ significantly from untreated individuals in terms of clinical outcomes or total medical care costs.

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Section: Discussion/conclusionmentioning

confidence: 99%

Periodontal treatment and subsequent clinical outcomes and medical care costs: A retrospective cohort study

Michalowicz,

Anderson,

Kottke

et al. 2023

PLoS ONE

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“…( Supplementary Material ). However, periodontal therapy and maintenance visits decrease expenses for both DM care ( 206 – 209 ) and other medical care, including pharmaceuticals and hospitalizations ( 206 , 207 , 210 – 213 ).…”

Section: Interprofessional Collaborationmentioning

confidence: 99%

Current scientific evidence for why periodontitis should be included in diabetes management

Borgnakke

2024

Front. Clin. Diabetes Healthc.

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This Perspective provides a brief summary of the scientific evidence for the two-way links between periodontal diseases and hyperglycemia (diabetes mellitus [DM] and pre-DM). It delivers in a nutshell current scientific evidence for manifestations of hyperglycemia on periodontal health status and effects of periodontal diseases on blood glucose levels and in turn incidence, progression, and complications of diabetes. Of outmost importance is presentation of scientific evidence for the potential of routine periodontal treatment to lower blood glucose levels, providing a novel, economical tool in DM management. Non-surgical periodontal treatment (“deep cleaning”) can be provided by dental hygienists or dentists in general dental offices, although severe cases should be referred to specialists. Such therapy can decrease the costs of DM care and other health care costs for people with DM. The great importance of a healthy oral cavity free of infection and subsequent inflammation – especially periodontitis that if untreated will cause loosening and eventually loss of affected teeth – has largely gone unnoticed by the medical community as the health care curricula are largely void of content regarding the bi-directional links between oral health and systemic health, despite elevation of blood glucose levels being an integral part of the general systemic inflammation response. The importance of keeping disease-free, natural teeth for proper biting and chewing, smiling, self-esteem, and pain avoidance cannot be overestimated. Medical and dental professionals are strongly encouraged to collaborate in patient-centered care for their mutual patients with – or at risk for – hyperglycemia.

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“…However, amidst the many states and UN Single Convention signatories legalizing marijuana for medical use, in Indonesia, the use of marijuana and other types of narcotics remains highly restricted both in terms of regulation and research. This can be seen in how narcotics in Indonesia are classified into several categories, each with its own usage limitations (Shimamoto et al, 2023;Thakkar-Samtani et al, 2023;Yoon & Kim, 2022).…”

Section: Introductionmentioning

confidence: 99%

Decriminalizing Marijuana Use as an Alternative Medical Treatment

Guntara,

Sambas,

Yanto

2024

law

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The discourse surrounding the legalization of Class I narcotics, particularly marijuana (Cannabis Sativa), as one of the alternative medical treatments, has been continuously debated for the past few years. Various studies have been advancing with technological progress, prompting some other countries to start legalizing marijuana for medical purposes with certain restrictions. In Indonesia, there is a clear law, namely Law Number 35 of 2009 concerning Narcotics, which imposes restrictions and prohibitions on the use of various narcotics. Violators of these regulations are subject to criminal sanctions. In this legal research, the author will conduct a literature study using a statutory approach, which involves examining all relevant laws and legal regulations related to narcotics and the legality of the policy on the use of Class I narcotics as alternative medical treatments, such as the 1945 Constitution of the Republic of Indonesia (UUD 45), Law Number 35 of 2009 concerning Narcotics, Law Number 17 of 2023 concerning Health, and Law Number 39 of 1999 concerning Human Rights. The research findings indicate that juridically, the Narcotics Law, especially Article 6 paragraph (1) letter a and Article 8 paragraph (1), prohibits the use of Class I narcotics for medical purposes, which is clearly contradictory to Article 28C paragraph (1) of the 1945 Constitution where every person has the right to develop themselves through the fulfillment of their basic needs, the right to education, and to benefit from science and technology, arts, and culture, for the purpose of improving their quality of life and the welfare of humanity. Furthermore, the Health Law does not specifically regulate the use of marijuana for medical purposes, but only addresses general regulations regarding the use of narcotics. It is hoped that the results of this research can become a reference for policy makers to legalize the use of marijuana as an alternative treatment.

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Periodontal treatment associated with decreased diabetes mellitus–related treatment costs

Cited by 6 publications

References 33 publications

Periodontal treatment and subsequent clinical outcomes and medical care costs: A retrospective cohort study

Periodontal treatment and subsequent clinical outcomes and medical care costs: A retrospective cohort study

Current scientific evidence for why periodontitis should be included in diabetes management

Decriminalizing Marijuana Use as an Alternative Medical Treatment

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