June 2007

Volume 24, Issue 2

The cost-effectiveness of adding fluorides to milk-products distributed by the National Food Supplement Programme (PNAC) in rural areas of Chile

Authors: A. Weitz A. Villa R. Mariño M. Morgan


Objective: This paper assesses the cost-effectiveness of a community dental caries prevention programme, targeting pre-school children living in non-fluoridated rural areas of Chile. Basic research design: The results of a community trial to measure the effects of using fluoridated powdered milk and milk-cereal to prevent dental caries, together with the cost of running the programmeme, were used to determine its cost-effectiveness when compared to the status-quo alternative. In the experimental community, fluoridated milk products were given to approximately 1,000 children aged between six months and six years, using the standard National Complementary Feeding Programme available in Chile. The control group received the milk products only. Dental caries status was recorded at the beginning and end of the programme in both communities using WHO criteria. The costs that would be incurred by such a programme, using a societal perspective, were identified and measured. Results: Children who received fluoridated products had significantly lower mean levels of dental caries than those who had not. This improvement was achieved with a yearly cost of RCH (1999) $1,839.75 per child (1 US$ = RCH (1999) $527.70). On average, this programme resulted in a net societal savings of RCH (1999) $2,695.61 per diseased tooth averted after four years when compared to the control group. Conclusions: While the analysis has inherent limitations as a result of its reliance on a range of assumptions, the findings suggest that there are important health and economic benefits to be gained from the use of fluoridated milk products in non-fluoridated rural communities in Chile. Key words: Chile, cost-effectiveness, dental caries, milk-fluoridation, prevention programme.


Other articles in this issue

Article Pages Access
Editorial - Where next in oral cancer prevention and control? 66-69 Download
Interventions for tobacco cessation in the dental setting. A systematic review 70-74 Download
The cost-effectiveness of adding fluorides to milk-products distributed by the National Food Supplement Programme (PNAC) in rural areas of Chile 75-81 Download
Dietary patterns, toothbrushing habits and caries experience of schoolchildren in West Yorkshire, England. 82-87 Download
Prevalence and severity of dental caries in 5- and 12-year old children in the Veneto Region (Italy) 88-92 Download
General dental practitioner’s views on dental general anaesthesia services. 93-96 Download
Reliability methodology in caries epidemiological studies conducted in the Nordic countries between 1990 and 2001 97-104 Download
The reproducibility of the Denplan Oral Health Score (OHS®) in general dental practitioners 105-110 Download
The oral health status of postpartum mothers in South-East Hungary 111-116 Download
Challenges associated with the evaluation of a dental health promotion programme in a deprived urban area 117-121 Download
Dental caries and associated factors among young male adults between 1999 and 2003 in Southern Brazil 122-127 Download


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