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.

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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.

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