Cost-effectiveness analysis of fissure sealants for caries prevention in children

IF 1.8 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Journal of public health dentistry Pub Date : 2022-10-27 DOI:10.1111/jphd.12549

Edibe Egil DDS, PhD, Emine Yaylali MSc, PhD

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Abstract

Objective

To evaluate the cost-effectiveness of resin-based and glass ionomer-based fissure sealants compared with no intervention for children.

Methods

We developed a Markov-based decision analytic model that simulated Turkish children from aged 6 to 15 years. Two types of costs were explored from the payers' perspective and the health care system perspectives. A cost-effectiveness analysis of resin-based and glass ionomer-based fissure sealants was conducted to quantify their effectiveness using the number of caries prevented and the quality-adjusted tooth years (QATYs). Costs and effectiveness measures were discounted at 3% per year.

Results

The most cost-effective intervention was resin-based fissure sealant, with an additional $5.34 per caries prevented and $1.86 per QATY gained compared with no treatment.

Conclusion

Fissure sealants particularly resin-based sealants are cost-effective for children in Turkey due to their low cost and highly preventive characteristics.

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预防儿童龋齿的裂隙封闭剂成本-效果分析

目的评价树脂基和玻璃离聚物基裂隙封闭剂与不干预儿童的成本效益。方法我们开发了一个基于马尔可夫的决策分析模型，模拟土耳其6至15岁的儿童年。从支付者的角度和医疗保健系统的角度探讨了两种类型的成本。对树脂基和玻璃离聚物基裂隙封闭剂进行了成本效益分析，以使用预防龋齿的数量和质量调整牙齿年数（QATYs）来量化其有效性。成本和有效性措施按每年3%的折扣计算。结果最具成本效益的干预措施是树脂基裂隙封闭剂，与不治疗相比，每预防一次龋齿可额外获得5.34美元，每治疗一次可额外获得1.86美元。结论裂缝性密封胶，特别是树脂基密封胶，具有成本低、预防性强的特点，适合土耳其儿童使用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of public health dentistry 医学-公共卫生、环境卫生与职业卫生

CiteScore

3.80

自引率

4.30%

发文量

审稿时长

6-12 weeks

期刊介绍： The Journal of Public Health Dentistry is devoted to the advancement of public health dentistry through the exploration of related research, practice, and policy developments. Three main types of articles are published: original research articles that provide a significant contribution to knowledge in the breadth of dental public health, including oral epidemiology, dental health services, the behavioral sciences, and the public health practice areas of assessment, policy development, and assurance; methods articles that report the development and testing of new approaches to research design, data collection and analysis, or the delivery of public health services; and review articles that synthesize previous research in the discipline and provide guidance to others conducting research as well as to policy makers, managers, and other dental public health practitioners.