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European Archives of Paediatric Dentistry

, Volume 7, Issue 3, pp 130–135 | Cite as

Cost-effectiveness of a long-term dental health education program for the prevention of early childhood caries

  • M. B. Kowash
  • K. J. ToumbaEmail author
  • M. E. J. Curzon
Article

Abstract

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, [1984]. 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 words

Cost effectiveness early childhood caries infants 

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References

  1. Curzon MEJ and Preston AJ. Risk groups: nursing bottle caries/caries in the elderly. Caries Res 2004;38 Suppl1:24–33.PubMedCrossRefGoogle Scholar
  2. Davies GM., Duxbury JT, Boothman NJ, Davies RM, Blinkhorn AS. A staged intervention dental health programme to reduce early childhood caries. Community Dent Health. 2005;22:118–22.PubMedGoogle Scholar
  3. Davies, GN. Fluoride in the prevention of dental caries, a tentative cost-benefit analysis; part 2: cost benefits of fluoridation. Brit Dent J., 1973;135:131–134.PubMedCrossRefGoogle Scholar
  4. Fuller, JF. Cost-benefit and cost-effectiveness analysis. NZ Dent J., 1974;70,282–288.Google Scholar
  5. Horowitz, H., Heifetz, S. Methods for assessing the cost-effectiveness of caries preventive agents and procedures. Int Dent. J., 1979;29:106–117.PubMedGoogle Scholar
  6. Kowash MB, Pinfield A., Smith J., Curzon MEJ. Effectiveness on oral health of a long-term health education programme for mothers with young children. Brit Dent.J, 2000;188:201–205.PubMedGoogle Scholar
  7. Mattla ML, Rautava P, Aromaa M, et al. Behavioural and demographic factors during early childhood and poor dental health at 10 years of age. Caries Res 2005;39:85–91.CrossRefGoogle Scholar
  8. Niessen, LC, Douglass, CW. Theoretical considerations in applying benefit-cost and cost-effectiveness analysis to preventive dental programs. J Publ Health Dent., 1984;44:156–168.CrossRefGoogle Scholar
  9. 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
  10. Schroth RJ, Moffat ME. Determinants of early childhood caries (ECC) in a rural Manitoba community: a pilot study. Pediatr Dent 2005;27:114–20.PubMedGoogle Scholar
  11. 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
  12. Wessel LA, Wolpn, Sheen J, et al. Early childhood caries prevention: a training project for primary care providers. J Health Care Poor Underseved. 2005;16:244–7.CrossRefGoogle Scholar

Copyright information

© European Archives of Paediatric Dentistry 2006

Authors and Affiliations

  • M. B. Kowash
    • 1
  • K. J. Toumba
    • 1
    Email author
  • M. E. J. Curzon
    • 1
  1. 1.Dept. Paediatric dentistryLeeds Dental InstituteLeedsEngland

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