An evaluation of a primary preventive dental programme in non‐fluoridated areas of Victoria, Australia

Morgan, Mike; Campain, A. C.; Crowley, Steven; Wright, F. A. C.

doi:10.1111/j.1834-7819.1997.tb06082.x

Cited by 17 publications

(21 citation statements)

References 17 publications

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“…This calls for urgent action to start suitable preventive programs for school children in Jordan. Many recent studies reported the effectiveness of different school‐based preventive programs (6–8); however, the success of such programs under the conditions prevailing in different communities needs further investigation. The present study is the first controlled study to test the efficacy of a school‐based caries preventive program in Jordan.…”

Section: Discussionmentioning

confidence: 99%

The efficacy of a school‐based caries preventive program: a 4‐year study

Al-Jundi

Hammad

Alwaeli

2006

Int J Dental Hygiene

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This longitudinal study aimed at testing the efficacy of a school-based caries preventive program, by comparing dental caries status of two groups, a study group (436 children) and a control group (420 children) over a period of 4 years. The study group received a preventive program which consisted of intensive oral hygiene instructions sessions, and supervised daily tooth brushing using fluoridated tooth paste in schools. The control group received only oral hygiene instructions sessions. Annual dental examination to record dental caries status, using Decayed Missed Filled Teeth Index (DMFT) and deft, was conducted for both groups over a period of 4 years. At the end of the fourth year the efficacy of the program was tested by comparing the DMFT and deft indices for the two groups using Pearson chi-square test and Cochran-Mantel-Haenzele test. The level of significance was set at P < 0.05. The results after 4 years showed that the caries status of the children in the study group was better than that of the control group. The difference was statistically significant (P-value 0.001). The estimates of relative risk values also showed that children in the control group are 3.1 and 6.4 times at higher risk of having dental caries than those in the study group for age group 12 and 6 respectively. This study proves that supervised daily tooth brushing using fluoridated toothpaste is successful in controlling dental caries in children.

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Section: Discussionmentioning

confidence: 99%

The efficacy of a school‐based caries preventive program: a 4‐year study

Al-Jundi

Hammad

Alwaeli

2006

Int J Dental Hygiene

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“…Similarly, Oscarson et al 8 compared the cost-effectiveness of three preventive programmes versus brushing with fluoride toothpaste. Studies by Morgan et al 9,10 and Crowley et al 11 all report on an Australian schoolbased prevention programme consisting of fluoride mouthrinse and fissure sealant placement compared with oral hygiene instruction. Recently, Quinonez et al 12,13 estimated the cost-effectiveness of three different preventive sealant strategies over a 10-year period.…”

Section: Introductionmentioning

confidence: 99%

The Monitor Practice Programme: is non‐invasive management of dental caries in private practice cost‐effective?

Curtis

Warren

Pollicino³

et al. 2011

Australian Dental Journal

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Background: The objective of this research was to assess the efficacy and cost-effectiveness of a non-invasive approach to dental caries management in private dental practice. Methods: Private dental practices from a variety of locations in New South Wales were randomly allocated to either noninvasive management of caries, or continue with usual care. Patients were followed for three years and caries incidence assessed. A patient-level decision analytic model was constructed to assess the cost-effectiveness of the intervention at two years, three years, and hypothetical lifetime. Results: Twenty-two dental practices and 920 patients were recruited. Within the clinical trial there was a significant difference in caries increment favouring non-invasive therapy at both two and three years. Efficacy was independent of age, gender, medical concerns, fluoride history, or previous history of dental caries, in a population of patients attending for treatment in private dental practices, in a variety of locations both urban and rural. Cost per DMFT avoided estimate was A$1287.07 (two years), A$1148.91 (three years) decreasing to A$702.52 in (medium) and A$545.93 (high) risk patients (three years). Conclusions: A joint preventive and non-invasive therapeutic approach appears to be cost-effective in patients at medium and high risk of developing dental caries when compared to the standard care provided by private dental practice.

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“…The ICER was $11.75 per DMFT averted over six years. Morgan et al assessed the cost‐effectiveness of a combination of sealants, fluoride mouth rinses and oral hygiene instructions (OHI) compared with only OHI in two nonfluoridated areas in Victoria, Australia. The ICER was $12.67 per DMFS averted over three years with a net savings by the third year, suggesting that a longer duration of study would have resulted in net savings to the community.…”

Section: Resultsmentioning

confidence: 99%

“…As part of the quality assessment of the included studies, eight studies were classified strong, two studies were moderate and three studies were weak. A summary of the quality of the studies using these two methodologies and their descriptive attributes is shown in [Mesh] OR "Health Expenditures"[Mesh])))) studies, [17][18][19][20][21][22][23] one prospective cohort study, 24 four retrospective cohort studies [25][26][27][28] and one community trial. 29 Seven studies were conducted in the United States, two in Australia and one in Canada, Finland, Chile and China, respectively.…”

Section: Resultsmentioning

confidence: 99%

“…Of the 13 included studies, two compared sealants with no sealants, 25,28 and three compared sealants with other interventions such as water fluoridation, 21 fluoride mouth rinse, professional mouth cleaning and oral hygiene education. 17,24 One study compared glass-ionomer sealants to resin-based sealants. 29 Five studies compared different sealant delivery strategies in primary teeth 19,22 and secondary teeth.…”

Section: Resultsmentioning

confidence: 99%

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Economic evaluation of dental sealants: A systematic literature review

Akinlotan

Chen²,

Fontanilla

et al. 2017

Comm Dent Oral Epid

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Objectives: To systematically review the literature on economic evaluations of dental sealants and examine the costs and effectiveness of caries prevention using sealants.Methods: Of 21 full-text articles examined, a total of 13 were included in this study. These studies are grouped by the type of intervention as follows: (i) sealants compared with no sealants; (ii) sealants compared with other forms of caries prevention; (iii) resin-based sealants compared with glass-ionomer sealants; (iv) different sealing strategies in primary teeth; (v) different sealing strategies in permanent teeth; and (vi) sealants based on school-or clinic-based setting of delivery. All currency is reported in constant 2010 US$.Results: Cost-effectiveness analyses differed due to varying study designs, assumptions, sealant delivery settings, outcomes, caries risk assessment and study durations.Findings varied on the cost-effectiveness of sealants compared with other caries-preventive strategies. Under the assumption of equal caries risk, always sealing primary molars appeared to be the most effective strategy, whereas risk-based sealing was the optimal strategy with differing caries risk. Studies that assessed sealing strategies in permanent teeth reported that risk-based sealing was more cost-effective than not sealing, but they differed on the cost-effectiveness of risk-based seal compared with non-risk-based seal. Sealants delivered in school settings had mixed results on costs but were as equally effective as sealants delivered in private practices. Conclusions:The cost-effectiveness of sealants is dependent on the conditions of delivery. The list of cost-effectiveness ratios for each intervention can support policy makers to estimate expected returns on their investments in dental sealants. States in 2014. 5 Interventions involving the delivery of dental sealants on a large scale have been limited due to uncertainty on their cost-effectiveness, as there are concerns that treating dental decay is cheaper than using sealants. economic evaluations in dentistry means that there has been a growing number of reviews which examine the scientific literature on the cost and effectiveness of dental caries prevention programmes more generally.12,13The current study builds on this scientific literature by focusing specifically on economic evaluation of dental sealants for caries prevention. The primary objective of this study was to review the literature on costs and benefits of using dental sealants to prevent caries. 2 | ME TH ODS 2.1 | Search strategy and data collectionTo identify articles published on the economic evaluation of dental sealants, we searched PubMed, MEDLINE (via EBSCOhost) and CINAHL (via EBSCOhost) databases using search terms such as "dental sealants," "pit and fissure sealants," "cost," "cost analysis,""cost-benefit analysis," "cost allocation," "direct service costs" and "economics" (see Table 1 for complete search terms). Only English language articles published in peer-reviewed journals from 1996 through Octob...

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An evaluation of a primary preventive dental programme in non‐fluoridated areas of Victoria, Australia

Cited by 17 publications

References 17 publications

The efficacy of a school‐based caries preventive program: a 4‐year study

The efficacy of a school‐based caries preventive program: a 4‐year study

The Monitor Practice Programme: is non‐invasive management of dental caries in private practice cost‐effective?

Economic evaluation of dental sealants: A systematic literature review

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