{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T02:04:01Z","timestamp":1789610641305,"version":"build-2803163510"},"reference-count":29,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T00:00:00Z","timestamp":1781827200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T00:00:00Z","timestamp":1781827200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100007212","name":"V\u00e4stra G\u00f6talandsregionen","doi-asserted-by":"publisher","award":["TUAGBG\u2010210211"],"award-info":[{"award-number":["TUAGBG\u2010210211"]}],"id":[{"id":"10.13039\/100007212","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007212","name":"V\u00e4stra G\u00f6talandsregionen","doi-asserted-by":"publisher","award":["TUAGBG\u2010364881"],"award-info":[{"award-number":["TUAGBG\u2010364881"]}],"id":[{"id":"10.13039\/100007212","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007212","name":"V\u00e4stra G\u00f6talandsregionen","doi-asserted-by":"publisher","award":["TUAGBG\u201063655"],"award-info":[{"award-number":["TUAGBG\u201063655"]}],"id":[{"id":"10.13039\/100007212","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007212","name":"V\u00e4stra G\u00f6talandsregionen","doi-asserted-by":"publisher","award":["TUAGBG\u2010978440"],"award-info":[{"award-number":["TUAGBG\u2010978440"]}],"id":[{"id":"10.13039\/100007212","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clinic Periodontology"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To analyse and compare cost consequences of two evidence\u2010based non\u2010surgical periodontal treatment protocols performed by dental hygienists (DHs) in general practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>Six\u2010hundred and fifteen patients were included. Treatment approaches compared were (i) conventional non\u2010surgical therapy (CNST), often performed at multiple sessions, and (ii) a \u2018full\u2010mouth\u2019 concept called guided periodontal infection control (GPIC), with initial focus on patient education followed by one session of ultrasonic instrumentation. A cost consequence analysis was conducted regarding the two approaches, including treatment costs, travelling costs and productivity costs, as well as non\u2010monetary consequences (closed pockets and bleeding on probing). In data analysis, the 95% confidence intervals were obtained using the percentile method based on 5000 bootstrap replications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Treatment costs were higher for CNST compared to GPIC by \u20ac60 (\u20ac359.5 [95% CI: 345.5\u2013374.2] vs. \u20ac299.4 [95% CI: 289.3\u2013309.1]). Productivity costs related to treatment were also greater in CNST by +\u20ac15. Travel costs showed minor differences (+\u20ac1 for CNST). Non\u2010monetary outcomes showed no significant differences between groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>CNST was more costly than GPIC while maintaining comparable clinical outcomes at 6\u2009months. When designing policy and practice for non\u2010surgical treatment approaches, both evidence\u2010based practice and how shared resources are best used should be acknowledged.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jcpe.70154","type":"journal-article","created":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T01:56:13Z","timestamp":1781920573000},"page":"1557-1564","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Cost Consequence Analysis of Non\u2010Surgical Treatment Approaches for Patients With Periodontitis"],"prefix":"10.1111","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4399-3455","authenticated-orcid":false,"given":"Anna","family":"Liss","sequence":"first","affiliation":[{"name":"Department of Periodontology, Institute of Odontology, the Sahlgrenska Academy University of Gothenburg  Gothenburg Sweden"},{"name":"Clinic of Periodontology, The Public Dental Service, Region V\u00e4stra G\u00f6taland  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Max","family":"Petzold","sequence":"additional","affiliation":[{"name":"School of Public Health and Community Medicine, Institute of Medicine, the Sahlgrenska Academy University of Gothenburg  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3610-6574","authenticated-orcid":false,"given":"Cristiano","family":"Tomasi","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Institute of Odontology, the Sahlgrenska Academy University of Gothenburg  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3820-3677","authenticated-orcid":false,"given":"Kajsa H.","family":"Abrahamsson","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Institute of Odontology, the Sahlgrenska Academy University of Gothenburg  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Welander","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Institute of Odontology, the Sahlgrenska Academy University of Gothenburg  Gothenburg Sweden"},{"name":"Clinic of Periodontology, The Public Dental Service, Region V\u00e4stra G\u00f6taland  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,19]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.2004.00563.x"},{"key":"e_1_2_12_3_1","first-page":"1","article-title":"Time to Take Gum Disease Seriously: The Societal and Economic Impact of Periodontitis","volume":"2022","author":"Bishop C.","year":"2021","journal-title":"Economist Intelligence Unit"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.21\u20100111"},{"key":"e_1_2_12_5_1","volume-title":"Methods for the Economic Evaluation of Health Care Programmes","author":"Drummond M. 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