Cost-effectiveness of a long-term dental health education program for the prevention of early childhood caries
- 316 Downloads
Aim: To evaluate the benefit-cost (B/C) and cost-effectiveness (C/E) of a long-term dental health education program to prevent early childhood caries (ECC) through home visits. Methods: The data collected over a three year period in a dental health education programme (DHE), previously reported [Kowash et al., 2000] for infants aged 8 months at start, were analysed for B/C and C/E. Dental caries indices (BASCD) for dmft and dmfs were used. Costs were based on British National Health Service (UK) fees for treating children by general dental practitioners and salaries for community dental officers in the Community Dental Services in the UK. Comparisons were made for B/C and C/E with results from a clinical trial of a slow releasing fluoride device (SRFD), community water fluoridation (CMF) and a school based fissure sealant program (FSP) using the hypothetical community of Niessen and Douglass, . Results: The cavities, as ECC, saved over the three year period indicated a B/C ratio for the DHE of 5.21 compared with SRFD of 4.17; CWF of 1.15 and FSP of 0.42. The C/E results were 1.92, 2.40, 8.66 and 23.74 respectively. Conclusion: A dental health education program of home visits with mothers of young infants to prevent early childhood caries and starting at 8 months of age, gave better benefit-costs and costs effectiveness ratios than other preventive programs.
Key wordsCost effectiveness early childhood caries infants
Unable to display preview. Download preview PDF.
- Fuller, JF. Cost-benefit and cost-effectiveness analysis. NZ Dent J., 1974;70,282–288.Google Scholar
- Pollard, MA, Curzon MEJ. Children’s Teeth and Dental Development: The Multifactorial Nature of Dental caries. Proceedings of the Conference on Carbohydrates in Infant Nutrition and Dental Health. 1995, pp 5–10 Milupa Scientific Pub. Darmstadt.Google Scholar
- Toumba, KJ, Curzon MEJ. Clinical trial of slow releasing glass fluoride device to prevent dental caries in children. Caries Res 2005;161;201–206Google Scholar