A by the Ministry of health commissioned keeps the medical Benefits of dental braces and orthodontic treatments are not sufficiently explored.
The studies were “in terms of diagnostic and therapeutic orthodontic measures on a patient-relevant Benefit”, – stated in a Meta-study by the Berlin-based IGES Institute. First, the “image”newspaper had reported about it. A spokesman of the Federal Minister of health, Jens Spahn (CDU) stressed that the Ministry is doubt as to the necessity of orthodontic services.
The opinion States that, studies show, although successes in the correction of false teeth, and a positive impact on the quality of life of patients, but the long-term impact is about to Tooth loss or periodontal disease would not be considered.
That braces reduce problems such as tooth decay, periodontal disease or tooth loss, could not be occupied, is however not excluded according to the study, also, informed the Ministry. “In principle the legislature is not a rating of the Usefulness of a therapy,” it said. The Ministry will discuss with Stakeholders, “the need for further research and recommendations for action”.
The analysis also deals with the expenditure of the health insurance companies for orthodontic treatments. These had increased over the past years continuously and have reached 2017, with 1.1 billion euros, a new record, it says in the more than 100 pages long investigation. The various data are only comparable to a limited extent. “On the Basis of the data can not be evaluated, therefore, is whether the expenditure in the jaw meet orthopedic care to the criteria of cost-effectiveness,” the authors write.
In the spring, had already criticised the Federal court of auditors, a lack of exploration of the medical benefits of orthodontic treatments such as braces. “Image”, according to Minister Spahn was then the current opinion is in order.
Which services will be reimbursed for the medical care of the statutory health insurance funds, the so-called Joint Federal Committee. Therein, Doctors, dentists, psychotherapists, hospitals and health insurance companies are represented.