School-Based Dental Sealant Programs Prevent Cavities And Are Cost-Effective

Griffin, Susan; Naavaal, Shillpa; Scherrer, Christina R.; Griffin, Paul M.; Harris, Kate W.; Chattopadhyay, Sajal K.

doi:10.1377/hlthaff.2016.0839

Cited by 57 publications

(68 citation statements)

References 24 publications

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“…Hence, community‐based interventions such as school‐based sealant programs could be a cost‐saving approach for this population (Griffin et al. ), although that would depend on the relative effectiveness of sealants applied in school‐based settings compared with dental office settings. Access to care also could be potentially improved by increasing dentist participation by raising Medicaid reimbursement rates (Beazoglou et al.…”

Section: Resultsmentioning

confidence: 99%

Estimating the Cost Savings of Preventive Dental Services Delivered to Medicaid‐Enrolled Children in Six Southeastern States

Lee

Monahan

Serban

et al. 2017

Health Services Research

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Section: Resultsmentioning

confidence: 99%

Estimating the Cost Savings of Preventive Dental Services Delivered to Medicaid‐Enrolled Children in Six Southeastern States

Lee

Monahan

Serban

et al. 2017

Health Services Research

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“…The 34 articles identified correspond to 33 studies, because one study was reported in more than one article. Finally, 33 complete economic evaluations were included for data extraction and analysis …”

Section: Resultsmentioning

confidence: 99%

Quality appraisal of economic evaluations done on oral health preventive programs‐A systematic review

Mariño

Ravisankar

Zaror

2020

J Public Health Dent

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Objectives If economic evaluations are to be used by decision makers, such evidence has to be robust so that the relevant policy maker use them. This study was undertaken with the purpose of identifying economic evaluations done on oral health preventive programs and to assess the standard of economic evidence in this field. Methods A systematic search was conducted using four major electronic databases in order to search for economic evaluations done on oral health preventive programs. This included economic evaluations that were published between January 1975 and May 2018 on preventive interventions for periodontal disease, oral cancer screening, and other common oral health conditions. To avoid duplications with previous studies, for dental caries interventions, this review included studies from April 2012 and May 2018. “Guidance to undertaking reviews in health care,” developed by York University, was used to assess the quality of reporting in the evaluations, using which strengths and shortcomings were identified. Results A total of 2026 records were initially found. After title and abstract screening, and elimination by full text review, 33 relevant economic evaluations were identified. Majority of the economic evaluations included were conducted on dental caries prevention; a few were done on oral cancer screening, periodontal disease, and general preventive dentistry (health promotion, oral hygiene etc.). Conclusions In comparison to the findings observed in previous reviews, there has been improvements in the quality of reporting in economic evaluations. Several areas still in need for improve were identified (e.g., productivity costs, currency and prices, and generalizability issues).

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“…The United States Community Preventive Services Task Force recommends sealants as the primary preventive method for caries programs [18,19]. Overall, dental sealant programs prevent subsequent tooth fillings and were found to be cost-effective [19].…”

Section: Discussionmentioning

confidence: 99%

School-based caries prevention and longitudinal trends in untreated decay: an updated analysis with Markov chains

2020

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Objective: Dental caries (tooth decay) is the most prevalent childhood disease in the world. A school-based program for the prevention of dental caries providing biannual sealants, interim therapeutic restorations, and fluoride varnish to children aged 5-12 years was previously associated with a significant reduction in the prevalence of untreated tooth decay over time. The objective of this study was to explore potential nonlinear change in the risk of untreated decay in children receiving caries prevention. Results: Across all study participants, there was a significant increase in the odds of untreated tooth decay over time (OR = 1.90, 95% CI 1.51, 2.39), but the rate of this risk rapidly decreased with each observational visit (OR = 0.87, 95% CI 0.93, 0.91). Overall effects substantially depended on the oral health status of participants at baseline: for children with untreated decay at their first observation, the odds of untreated decay over time was 0.39 (95% CI 0.27, 0.55). A quadratic change for this subpopulation showed that the per-visit decrease in decay was attenuated with each subsequent observation (OR = 1.12, 95% CI 1.04, 1.20).

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School-Based Dental Sealant Programs Prevent Cavities And Are Cost-Effective

Cited by 57 publications

References 24 publications

Estimating the Cost Savings of Preventive Dental Services Delivered to Medicaid‐Enrolled Children in Six Southeastern States

Estimating the Cost Savings of Preventive Dental Services Delivered to Medicaid‐Enrolled Children in Six Southeastern States

Quality appraisal of economic evaluations done on oral health preventive programs‐A systematic review

School-based caries prevention and longitudinal trends in untreated decay: an updated analysis with Markov chains

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