Economic evaluation of a risk-based caries prevention program in preschool children

被引:14
作者
Jokela, J
Pienihäkkinen, K
机构
[1] Univ Turku, Inst Dent, FI-20520 Turku, Finland
[2] Municipal Hlth Ctr, Korpilahti, Finland
关键词
costs; mutans streptococci; paediatric dentistry; screening;
D O I
10.1080/00016350310002450
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
We have previously reported that, in young children, a risk-based caries prevention program compared with conventional prevention has a good caries-preventive effect. The present study aimed to assess the economic aspects of this program. We used the presence of mutans streptococci in plaque (Dentocult-SM(R)) and/or the presence of incipient carious lesions at 2 years of age for risk assessment, and measured the outcome of caries (yes/no) at the age of 5 years. Dental assistants carried out the screening and preventive work. The economic analysis included the actual running costs of the program during the 3-year follow-up based on the time spent on dental visits. The costs per child per 3 years were significantly lower in the risk-based group (54 (sic)) than in the conventional prevention group (69(sic)) (Student's t test, P=0.004). If a dentist with an assistant had done all the work, the costs would have been twice as high. Compared to conventional prevention, the results suggest that risk-based prevention can be effective in reducing both costs and dental caries in preschool children, provided that the screening and preventive measures are delegated to preventive dental assistants.
引用
收藏
页码:110 / 114
页数:5
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