Practice-based study of the cost-effectiveness of fissure sealants in Finland

Leskinen, Kaja; Salo, Sirpa; Suni, Jorma; Larmas, Markku

doi:10.1016/j.jdent.2008.09.005

Cited by 17 publications

(20 citation statements)

References 9 publications

(19 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Their findings confirmed that risk‐based sealing was the most effective and cheapest method . Other studies also recommend sealing the permanent molars but conclude that it is more economical to target those at high risk of developing caries lesions . A 2016 updated Cochrane systematic review, evaluated studies that have compared PFS to FV in preventing caries lesions in children and showed that data is still too limited to recommend one method over the other in preventing occlusal caries in children and adolescents, although there seems to be evidence of superiority of PFS .…”

Section: Introductionmentioning

confidence: 90%

Cost‐effectiveness analysis of two caries prevention methods in the first permanent molar in children

Khouja

2017

J Public Health Dent

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 90%

Cost‐effectiveness analysis of two caries prevention methods in the first permanent molar in children

Khouja

2017

J Public Health Dent

View full text Add to dashboard Cite

show abstract

“…One study compared glass‐ionomer sealants to resin‐based sealants . Five studies compared different sealant delivery strategies in primary teeth and secondary teeth . Two studies compared the effectiveness of sealants based on the delivery setting .…”

Section: Resultsmentioning

confidence: 99%

“…Leskinen et al evaluated the cost‐effectiveness of two sealant delivery strategies in two Finland cities (Kemi and Vantaa). In Kemi, 6‐ to 12‐year‐olds were given sealants after caries risk assessment, while in Vantaa, all children who kept their dental appointments were routinely sealed.…”

Section: Resultsmentioning

confidence: 99%

Economic evaluation of dental sealants: A systematic literature review

Akinlotan

Chen²,

Fontanilla

et al. 2017

Comm Dent Oral Epid

View full text Add to dashboard Cite

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...

show abstract

“…In any case, the sealing of fissures in patients with a high caries risk will lead to a more favourable cost management. 25 Nowadays, it is also advised to use sealants not only as a preventive measurement, but to apply sealants when a fissure becomes discoloured and to seal over the discolouration without preparation. However, the results from the present study show that many fissures became discoloured without developing lesions that had to be restored in both low and high restoration profile patients.…”

Section: Discussionmentioning

confidence: 99%