Economic Evaluation of Community Water Fluoridation: A Community Guide Systematic Review

American Journal of Preventive Medicine
Tao RanCommunity Preventive Services Task Force

Abstract

A recently updated Community Guide systematic review of the effectiveness of community water fluoridation once again found evidence that it reduces dental caries. Although community water fluoridation was found to save money in a 2002 Community Guide systematic review, the conclusion was based on studies conducted before 1995. Given the update to the effectiveness review, re-examination of the benefit and cost of community water fluoridation is necessary. Using methods developed for Community Guide economic reviews, 564 studies were identified within a search period from January 1995 to November 2013. Ten studies were included in the current review, with four covering community fluoridation benefits only and another six providing both cost and benefit information. Additionally, two of the six studies analyzed the cost effectiveness of community water fluoridation. All currencies were converted to 2013 dollars. The analysis was conducted in 2014. The benefit-only studies used regression analysis, showing that different measures of dental costs were always lower in communities with water fluoridation. For the six cost-benefit studies, per capita annual intervention cost ranged from $0.11 to $4.92 for communities with at least 1,0...Continue Reading

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Citations

Jul 1, 2017·American Journal of Public Health·Melanie Simmer-BeckPatricia Kelly
Sep 7, 2018·Journal of Dental Research·A S AjiboyeUNKNOWN AADR Science Information Committee
Oct 22, 2019·European Archives of Paediatric Dentistry : Official Journal of the European Academy of Paediatric Dentistry·K J ToumbaN Α Lygidakis
Sep 18, 2020·JDR Clinical and Translational Research·M LinL Espinoza
Apr 4, 2020·Journal of Public Health Dentistry·Uhlee OhKimon Divaris
Feb 21, 2018·Advances in Dental Research·M A R Buzalaf
Apr 1, 2018·Journal of Public Health Dentistry·Mohammad HelmiBrittany Seymour
Dec 16, 2020·International Journal of Environmental Research and Public Health·Naae LeeSeung-Sik Hwang
May 21, 2021·PloS One·Catherine MayburyAlice M Horowitz
Oct 16, 2020·Journal of Public Health Dentistry·Michael MackertJosefine Wolfe
Jun 3, 2021·Brazilian Oral Research·Stefania MartignonMarília Afonso Rabelo Buzalaf
Aug 1, 2021·Acta Medica (Hradec Králové)·Romana Koberová IvančakováVlasta Merglová

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