Journal
EUROPEAN JOURNAL OF ORAL SCIENCES
Volume 117, Issue 6, Pages 728-733Publisher
WILEY-BLACKWELL
DOI: 10.1111/j.1600-0722.2009.00687.x
Keywords
caries; children; cost-effectiveness; randomized clinical trial
Categories
Funding
- Finnish Cultural Foundation
- Emil Aaltonen Foundation
- Finnish Dental Society Apollonia
- Yrjo Jahnsson Foundation
- Finnish Association for Dentists in Health Center
- Finnish Association of Women Dentists
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The aim of this study was to assess the cost-effectiveness of an experimental caries-control regimen in a randomized clinical trial (RCT) conducted in Pori, Finland, in 2001-2005. Children (n = 497) who were 11-12 yr of age and had at least one active initial caries lesion at baseline were studied. The children in the experimental group (n = 250) were offered an individually designed patient-centered regimen for caries control. The children in the control group (n = 247) received standard dental care. Furthermore, the whole population was exposed to continuous community-level oral health promotion. Individual costs of treatment procedures and outcomes (DMFS increment score) for the follow-up period of 3.4 yr were calculated for each child in both groups. The incremental cost-effectiveness ratio was euro34.07 per averted DMF surface. The experimental regimen was more effective, and also more costly. However, the total costs decreased year after year, and for the last 2 yr the experimental regimen was less expensive than the standard dental care. The experimental regimen would probably have been more cost-effective than standard dental care if the follow-up period had been longer, the regimen less comprehensive, and/or if dental nurses had conducted the preventive procedures.
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