Pub Date : 2026-02-06DOI: 10.1038/s41415-025-9249-3
Rosanna Orlando, Samia Turkistani, Chris Louca, Carolina Machuca Vargas
Introduction Evidence for economic evaluations (EEs) is essential for informed decision-making in healthcare. This scoping review of economic studies based on school dental screening and prevention programmes summarises the key facts in a narrative format and analyses knowledge gaps. Aim This scoping review mapped the existing literature on EEs in school dental screening and prevention and assessed the completeness of reporting using the CHEERS 2022 checklist. Methods A comprehensive literature search was conducted across three databases (Web of Science, PubMed, and Scopus) for EEs with no date restriction. EEs of school-based dental prevention programmes were included and grouped into three categories based on the intervention focus: prevention only, combined prevention and treatment interventions, and screening interventions. Quality assessment was conducted using the CHEERS checklist. Results A total of 11 EEs met inclusion criteria. While most studies reported short-term outcomes, fewer than half adequately estimated future cost saving. Discussion The evidence base for economic evaluations in school-based caries prevention is fragmented, with many studies focusing on isolated components rather than broader, integrated models of care. Conclusion Caries prevention is a long-term investment, and evaluations should account for future reduced treatment needs. More comprehensive and context-sensitive evaluations are needed to guide resource allocation and improve long-term oral health outcomes for children.
经济评价证据（EEs）对医疗保健中的知情决策至关重要。本文对基于学校牙科筛查和预防计划的经济研究进行了范围审查，以叙述的形式总结了关键事实，并分析了知识差距。目的本综述梳理了现有的关于EEs在学校牙科筛查和预防方面的文献，并使用CHEERS 2022检查表评估了报告的完整性。方法在Web of Science、PubMed和Scopus三个数据库中检索EEs，不加日期限制。纳入校本牙齿预防计划的电子教育项目，并根据干预重点分为三类：单纯预防、预防与治疗结合干预和筛查干预。使用CHEERS检查表进行质量评估。结果11例EEs符合纳入标准。虽然大多数研究报告了短期效果，但只有不到一半的研究充分估计了未来的成本节约。以学校为基础的龋齿预防经济评估的证据基础是支离破碎的，许多研究侧重于孤立的组成部分，而不是更广泛的综合护理模式。结论预防龋齿是一项长期投资，评估应考虑到未来治疗需求的减少。需要更全面和对环境敏感的评估来指导资源分配和改善儿童的长期口腔健康结果。
{"title":"Economic evaluation of dental prevention programmes in primary schools: a scoping review","authors":"Rosanna Orlando, Samia Turkistani, Chris Louca, Carolina Machuca Vargas","doi":"10.1038/s41415-025-9249-3","DOIUrl":"10.1038/s41415-025-9249-3","url":null,"abstract":"Introduction Evidence for economic evaluations (EEs) is essential for informed decision-making in healthcare. This scoping review of economic studies based on school dental screening and prevention programmes summarises the key facts in a narrative format and analyses knowledge gaps. Aim This scoping review mapped the existing literature on EEs in school dental screening and prevention and assessed the completeness of reporting using the CHEERS 2022 checklist. Methods A comprehensive literature search was conducted across three databases (Web of Science, PubMed, and Scopus) for EEs with no date restriction. EEs of school-based dental prevention programmes were included and grouped into three categories based on the intervention focus: prevention only, combined prevention and treatment interventions, and screening interventions. Quality assessment was conducted using the CHEERS checklist. Results A total of 11 EEs met inclusion criteria. While most studies reported short-term outcomes, fewer than half adequately estimated future cost saving. Discussion The evidence base for economic evaluations in school-based caries prevention is fragmented, with many studies focusing on isolated components rather than broader, integrated models of care. Conclusion Caries prevention is a long-term investment, and evaluations should account for future reduced treatment needs. More comprehensive and context-sensitive evaluations are needed to guide resource allocation and improve long-term oral health outcomes for children.","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"240 3","pages":"1-8"},"PeriodicalIF":2.3,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.comhttps://www.nature.com/articles/s41415-025-9249-3.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146131257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-06DOI: 10.1038/s41415-025-9197-y
Jeenarak Duangsuwan, Virat Hansrani, Konstantinos Michalakis, M. Marianne Jurasic, Elizabeth Kaye
Objectives To systematically review the association between education and tooth loss. Methods We performed an electronic search of PubMed following PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) guidelines with a focused PICO (population/problem, intervention, comparison, outcome) question: are adults with low educational attainment more prone to tooth loss than adults with higher education? Observational studies published between 2000–2022 examining adults ≥18 years with clinical or self-reported tooth loss were included. Quality of the reports was established using the Newcastle-Ottawa Scale. Results We identified 30 studies (735,576 individuals) across 15 countries. The majority were cross-sectional (90%) and rated as low/moderate quality (67%). Educational level was assessed as years of schooling or categorical attainment. Tooth loss was measured through clinical examination (53.3%) or self-report (46.7%). Primary education or less was consistently linked to higher likelihood of edentulism (odds ratio [OR] range: 2–4.9), fewer remaining teeth (OR range: 1.2–5.8), and greater tooth loss (OR range: 1.2–2.1) relative to higher levels. A university degree significantly reduced the odds of edentulism or tooth loss (OR range 0.3–0.75) compared to lower levels. Conclusions Lower educational attainment is associated with increased tooth loss. These findings provide a foundation for developing evidence-based policies and targeted interventions to address tooth loss in vulnerable populations.
{"title":"Impact of educational level on tooth loss and edentulism: a systematic review","authors":"Jeenarak Duangsuwan, Virat Hansrani, Konstantinos Michalakis, M. Marianne Jurasic, Elizabeth Kaye","doi":"10.1038/s41415-025-9197-y","DOIUrl":"10.1038/s41415-025-9197-y","url":null,"abstract":"Objectives To systematically review the association between education and tooth loss. Methods We performed an electronic search of PubMed following PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) guidelines with a focused PICO (population/problem, intervention, comparison, outcome) question: are adults with low educational attainment more prone to tooth loss than adults with higher education? Observational studies published between 2000–2022 examining adults ≥18 years with clinical or self-reported tooth loss were included. Quality of the reports was established using the Newcastle-Ottawa Scale. Results We identified 30 studies (735,576 individuals) across 15 countries. The majority were cross-sectional (90%) and rated as low/moderate quality (67%). Educational level was assessed as years of schooling or categorical attainment. Tooth loss was measured through clinical examination (53.3%) or self-report (46.7%). Primary education or less was consistently linked to higher likelihood of edentulism (odds ratio [OR] range: 2–4.9), fewer remaining teeth (OR range: 1.2–5.8), and greater tooth loss (OR range: 1.2–2.1) relative to higher levels. A university degree significantly reduced the odds of edentulism or tooth loss (OR range 0.3–0.75) compared to lower levels. Conclusions Lower educational attainment is associated with increased tooth loss. These findings provide a foundation for developing evidence-based policies and targeted interventions to address tooth loss in vulnerable populations.","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"240 3","pages":"1-6"},"PeriodicalIF":2.3,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146131267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-06DOI: 10.1038/s41415-025-9303-1
Angela Sinadinos, R. James Spencer, Esther McDerra, Paul Leavy, Rachael Nichol
Background Community Dental Services and secondary care providers face significant pressures due to the high volume of children referred for treatment. It has been suggested that dentists with special interests could bridge the gap between primary care and specialist services. A Level 2 training programme was designed in Yorkshire and the Humber to equip participants with the knowledge and skills to apply for Level 2 accreditation in paediatric dentistry. Methods Participants undertaking the first three cohorts of Level 2 training (n = 34) were invited to take part in an anonymised, online, mixed-methods survey. The survey explored how the programme had impacted their knowledge, confidence, and practice in paediatric dentistry, alongside some questions on the participants' background demographics. Results Participants reported increased frequency and confidence in completing common paediatric dental procedures. They also felt more confident managing paediatric medical and dental conditions and independently handling safeguarding concerns after training. Reference was made to the specialist network created and greater confidence treating Level 2 paediatric patients in general practice, knowing support was available if needed. Conclusions The Level 2 training programme had a demonstrably positive effect on participants' knowledge and confidence in providing care for Level 2 paediatric patients.
{"title":"Evaluation of a Level 2 paediatric dentistry training programme: impact on participant experience and confidence","authors":"Angela Sinadinos, R. James Spencer, Esther McDerra, Paul Leavy, Rachael Nichol","doi":"10.1038/s41415-025-9303-1","DOIUrl":"10.1038/s41415-025-9303-1","url":null,"abstract":"Background Community Dental Services and secondary care providers face significant pressures due to the high volume of children referred for treatment. It has been suggested that dentists with special interests could bridge the gap between primary care and specialist services. A Level 2 training programme was designed in Yorkshire and the Humber to equip participants with the knowledge and skills to apply for Level 2 accreditation in paediatric dentistry. Methods Participants undertaking the first three cohorts of Level 2 training (n = 34) were invited to take part in an anonymised, online, mixed-methods survey. The survey explored how the programme had impacted their knowledge, confidence, and practice in paediatric dentistry, alongside some questions on the participants' background demographics. Results Participants reported increased frequency and confidence in completing common paediatric dental procedures. They also felt more confident managing paediatric medical and dental conditions and independently handling safeguarding concerns after training. Reference was made to the specialist network created and greater confidence treating Level 2 paediatric patients in general practice, knowing support was available if needed. Conclusions The Level 2 training programme had a demonstrably positive effect on participants' knowledge and confidence in providing care for Level 2 paediatric patients.","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"240 3","pages":"1-7"},"PeriodicalIF":2.3,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146131229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-23DOI: 10.1038/s41415-026-9559-0
{"title":"NHS dentistry: interim change may help but cannot be end of the road","authors":"","doi":"10.1038/s41415-026-9559-0","DOIUrl":"10.1038/s41415-026-9559-0","url":null,"abstract":"","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"240 2","pages":"76-77"},"PeriodicalIF":2.3,"publicationDate":"2026-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.comhttps://www.nature.com/articles/s41415-026-9559-0.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146027633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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