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Economic burden of periodontitis in the United States and Europe: An updated estimation

Botelho, J; Machado, V; Leira, Y; Proença, L; Chambrone, L; Mendes, JJ; (2022) Economic burden of periodontitis in the United States and Europe: An updated estimation. Journal of Periodontology , 93 (3) pp. 373-379. 10.1002/JPER.21-0111. Green open access

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Abstract

BACKGROUND: The aim of this study is to estimate the direct and indirect economic burdens of periodontal disease in the USA and in Europe. METHODS: We used the most recent data available for the USA and for Europe (32 European countries) to estimate the cost of periodontal disease. Global health, dental and periodontal expenditures were estimated. We tried to estimate the direct and the indirect costs of periodontitis. Indirect costs, those related to productivity losses, are a consequence of periodontal disease proper, plus edentulism and caries due to periodontal disease. RESULTS: In 2018, the aggregate cost in the USA was estimated at $3.49B and €2.52B in Europe. Indirect costs due to periodontal disease amounted to $150.57B (95% confidence interval [CI]: 103.32-189.87) in the USA countries and €156.12B (95% CI: 123.72-221.86) in Europe. The majority of the projected indirect costs were due to edentulism related to periodontal disease and periodontal disease. Indirect costs were the majority of the estimated economic impact with an average of 0.73% (95% CI: 0.50-0.93%) of annual gross domestic product in the USA and 0.99% (95% CI: 0.78-1.40%) in Europe. CONCLUSIONS: Periodontal disease caused an estimated loss of $154.06B in the USA and €158.64B in Europe, in 2018. These results show that the economic burden of periodontal disease is significant and its indirect costs are impactful. This article is protected by copyright. All rights reserved.

Type: Article
Title: Economic burden of periodontitis in the United States and Europe: An updated estimation
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1002/JPER.21-0111
Publisher version: https://doi.org/10.1002/JPER.21-0111
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher's terms and conditions.
Keywords: cost-benefit analysis, dental scaling, economic factors, periodontal diseases, periodontitis, root planning
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Eastman Dental Institute
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Eastman Dental Institute > Restorative Dental Sciences
URI: https://discovery.ucl.ac.uk/id/eprint/10129341
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