March 2018

Volume 35, Issue 1

The use of cost-utility analysis for the evaluation of caries prevention: an exploratory case study of two community-based public health interventions in a high-risk population in the UK

Authors: Elizabeth Kay Lesley Owen Matthew Taylor Lindsay Claxton Linda Sheppard
doi: 10.1922/CDH_4115Owen07

Abstract

Background: Economic evaluations are important tools for decision makers to determine the best allocation of resources in a healthcare system. This study explored the use of economic evaluation in oral health promotion. Methods: A literature review identified oral health promotion programmes that measured both the health impact and costs of oral health interventions. A decision analysis model was constructed to examine the cost utility of preventing dental caries in 5 and 12-year-old children via tooth brushing schemes and fluoride varnish programmes. The costs per child that would be justified according to the National Institute for Health and Care Excellence’s threshold of £20,000 per QALY were calculated. Results: The analysis showed that NICE would consider that the expenditure of £55 per child on supervised tooth brushing, or £100 per child on fluoride varnish application would give sufficient health benefits to be justified according to their threshold. Conclusions: Greater attention needs to be paid to the collection of robust data on costs for oral health promotion. Dental researchers also urgently need to collect outcome data in a form that can be translated into a Quality of Life measure, so that the true cost effectiveness and value for money achieved through the prevention of dental disease can be recognised and compared to other allocations of resource. Key words: Caries, dental health attitudes, community based study, prevention, analysis, economics

£10 single article

Other articles in this issue

Article Pages Access
Editorial 3-4 £10 single article
Review and action plan for oral health improvement in Sheffield special schools 5-8 £10 single article
Impact of stress on dentists’ clinical performance. A systematic review 9-15 £10 single article
Illness perceptions amongst individuals with dental caries 16-22 £10 single article
The relationship between depression and periodontal diseases 23-29 £10 single article
The use of cost-utility analysis for the evaluation of caries prevention: an exploratory case study of two community-based public health interventions in a high-risk population in the UK 30-36 £10 single article
A systematic review of interventions using cue-automaticity to improve the uptake of preventive healthcare in adults: applications to dental visiting 37-46 £10 single article
Turkish Adaptation of Dentine Hypersensitivity Experience Questionnaire (DHEQ) 47-51 £10 single article
Recall intervals and time used for examination and prevention by dentists in child dental care in Denmark, Iceland, Norway and Sweden in 1996 and 2014 52-57 £10 single article
Obesity and dental caries in young children in Plymouth, United Kingdom: A Spatial Analysis 58-64 £10 single article

Subscribe

Print
£130
Online (Single user only)
£130
Print & Online (Single user only)
£150
Institution Online (IP address validation)
£220

Back issues may be obtained from the publisher

Consider recommending subscription to your institution's library

You can view Open Access papers without a subscription.