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Updated: Apr 15, 2026

Effects of Mechanical Methods Used in Peri-implantitis Treatment on Implant Surface Decontamination and Roughness
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Preventing and Treating Peri-Implantitis: A Cost-Effectiveness Analysis.

Falk Schwendicke1, Yu-Kang Tu2, Michael Stolpe3

  • 1Department of Operative and Preventive Dentistry, Charité - University of Medicine Berlin, Berlin, Germany.

Journal of Periodontology
|April 10, 2015
PubMed
Summary

Providing supportive implant therapy (SIT) and surgical debridement is more cost-effective for preventing peri-implantitis than non-surgical methods. High-risk patients benefit most from SIT, while low-risk groups may find cost-optimized strategies more suitable.

Keywords:
Dental economicsMarkov chainsdental implantshealth care economics and organizationsperi-implantitisperiodontal disease

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Area of Science:

  • Dental Implantology
  • Health Economics
  • Biomaterials Science

Background:

  • Peri-implantitis poses a significant challenge in dental implantology, with numerous treatments available but uncertain cost-effectiveness.
  • Evaluating the economic impact of preventing and treating peri-implantitis is crucial for optimizing patient care and resource allocation.

Purpose of the Study:

  • To evaluate the cost-effectiveness of different strategies for preventing and treating peri-implantitis.
  • To compare the economic outcomes of providing or not providing supportive implant therapy (SIT) and various treatment interventions.

Main Methods:

  • A 20-year Markov model was employed to simulate implant outcomes under different scenarios of SIT provision and peri-implantitis treatment.
  • Monte Carlo microsimulations assessed costs and implant loss rates, incorporating patient risk profiles and disease progression factors.
  • Eleven distinct treatment strategies for peri-implantitis were compared, including non-surgical and surgical debridement with adjunct therapies.

Main Results:

  • The least costly and effective approach involved no SIT and only non-surgical debridement.
  • Providing SIT alongside surgical debridement offered a favorable balance of cost and effectiveness (0.89 euros per 1% fewer implants lost).
  • The most effective treatments, including bone grafts and laser therapy, were significantly more expensive (56 euros per 1% fewer implants lost).
  • SIT demonstrated increased cost-effectiveness in high-risk patients, whereas cost-optimized strategies were preferred for low-risk groups.

Conclusions:

  • Cost-effectiveness analysis provides a valuable perspective alongside clinical assessment for managing peri-implantitis.
  • The provision of SIT and initial treatment costs were key determinants of overall cost-effectiveness.
  • Further research is needed to confirm the transferability of these findings to diverse healthcare systems.