Cost-effectiveness of conventional and modified supervised toothbrushing in preventing caries in permanent molars among 5-year-old children

Cadernos de saúde pública
Paulo Frazão

Abstract

The cost-effectiveness of a modified supervised toothbrushing program was compared to a conventional program. A total of 284 five-year-old children presenting at least one permanent molar with emerged/sound occlusal surface participated. In the control group, oral health education and dental plaque dying followed by toothbrushing with fluoride dentifrice was carried outfour times per year. With the test group, children also underwent professional cross-brushing on surfaces of first permanent molar rendered by a dental assistant five times per year. Enamel/dentin caries were recorded on buccal, occlusal and lingual surfaces of permanent molars for a period of 18 months. The incidence density (ID) ratio was estimated using Poisson's regression model. The ID was 50% lower among boys in the test group (p = 0.016). The cost of the modified program was US$ 1.79 per capita. The marginal cost-effectiveness ratio among boys was US$ 6.30 per avoided carie. The modified supervised toothbrushing program was shown to be cost-effective in the case of boys.

References

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Citations

Apr 30, 2017·Revista de salud pública·Thiago Fernando de Araújo SilvaEduardo José Guerra Seabra
Aug 16, 2019·BMC Oral Health·Márcia Maria Dantas Cabral de MeloPaulo Sávio Angeiras de Goes
Oct 16, 2015·Ciência & saúde coletiva·Gabriele MorazLocimara Ramos Kroeff
Jun 8, 2014·Medical Science Monitor : International Medical Journal of Experimental and Clinical Research·Alejandro José Casanova-RosadoGerardo Maupomé
Apr 21, 2020·Journal of Public Health Dentistry·Rodrigo MariñoCarlos Zaror
Mar 19, 2020·International Dental Journal·Gemma BridgeRaman Bedi
Aug 18, 2017·Community Dentistry and Oral Epidemiology·Caroline SteinFernando Neves Hugo
Dec 8, 2017·Expert Review of Pharmacoeconomics & Outcomes Research·Nathalia Miranda LadewigDaniela Prócida Raggio

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