Impact of Periodontal Therapy on General Health: Evidence from Insurance Data for Five Systemic Conditions

Treatment of periodontal (gum) disease may lessen the adverse consequences of some chronic systemic conditions. To estimate the effects of periodontal therapy on medical costs and hospitalizations among individuals with diagnosed type 2 diabetes (T2D); coronary artery disease (CAD); cerebral vascula...

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Bibliographic Details
Published in:	American journal of preventive medicine 2014-08, Vol.47 (2), p.166-174
Main Authors:	JEFFCOAT, Marjorie K, JEFFCOAT, Robert L, GLADOWSKI, Patricia A, BRAMSON, James B, BLUM, Jerome J
Format:	Article
Language:	eng
Subjects:	Adult Analysis of Variance Biological and medical sciences Chronic Disease Cohort Studies Databases, Factual Female Health Care Costs - statistics & numerical data Hospitalization - statistics & numerical data Humans Male Medical sciences Middle Aged Miscellaneous Outcome Assessment (Health Care) Periodontal Diseases - complications Periodontal Diseases - therapy Pregnancy Prevention and actions Public health. Hygiene Public health. Hygiene-occupational medicine Retrospective Studies
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Summary:	Treatment of periodontal (gum) disease may lessen the adverse consequences of some chronic systemic conditions. To estimate the effects of periodontal therapy on medical costs and hospitalizations among individuals with diagnosed type 2 diabetes (T2D); coronary artery disease (CAD); cerebral vascular disease (CVD); rheumatoid arthritis (RA); and pregnancy in a retrospective observational cohort study. Insurance claims data from 338,891 individuals with both medical and dental insurance coverage were analyzed in 2011-2013. Inclusion criteria were (1) a diagnosis of at least one of the five specified systemic conditions and (2) evidence of periodontal disease. Subjects were categorized according to whether they had completed treatment for periodontal disease in the baseline year, 2005. Outcomes were (1) total allowed medical costs and (2) number of hospitalizations, per subscriber per year, in 2005-2009. Except in the case of pregnancy, outcomes were aggregated without regard to reported cause. Individuals who were treated and untreated for periodontal disease were compared independently for the two outcomes and five systemic conditions using ANCOVA; age, gender, and T2D status were covariates. Statistically significant reductions in both outcomes (p
ISSN:	0749-3797 1873-2607